WAL-MART PHARMACY 10-1270
NPI 1164449310
Pharmacy - Community/Retail Pharmacy in North Augusta, SC

Q: What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1164449310. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Wal-Mart Pharmacy 10-1270.

Q: What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since July 16, 2006CLIA 42D2182002 · Waiver

1201 KNOX AVE, NORTH AUGUSTA, SC 29841(803) 279-1919 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, Feb 16, 2017, Dec 21, 2016 (3 updates tracked since 2016).

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About Wal-mart Pharmacy 10-1270 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART PHARMACY 10-1270 (NPI 1164449310) is a healthcare organization registered as a community/retail pharmacy in North Augusta, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1164449310

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address1201 KNOX AVENorth Augusta, SC 29841-4056

Mailing Address702 Sw 8th StBentonville, AR 72716-0445

Phone(803) 279-1919

Organization SubpartNo

Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500

Enumeration DateJuly 16, 2006

Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration

NPPES CertifiedAugust 29, 2023

✔ NPI 1164449310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in SC · 2399

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

1201 KNOX AVE, North Augusta, SC 29841

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Other Names 1

Doing Business AsWal-mart Pharmacy 10-1270

Other Identifiers 2

Medicaid723995SC

Other2090035Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2182002

Walmart Pharmacy 10-1270 · North Augusta, SC

Active · expires Apr 13, 2028

CLIA Number42D2182002

Laboratory TypePharmacy

Certificate Effective DateApril 14, 2026

Certificate Expiration DateApril 13, 2028

Laboratory DirectorRashid Fraii

Laboratory Phone(803) 279-1919

Laboratory LocationWalmart Pharmacy 10-12701201 Knox Ave, North Augusta, SC 29841

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

100 services99 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

97 services96 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

16 services16 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELAINE C REIFINGER PHARMD

Pharmacist