1. Home
  2. Directory
  3. Nevada
  4. North Las Vegas
  5. Pharmacy
  6. NPI Profile

WALMART INC.
NPI 1215061031
Pharmacy - Community/Retail Pharmacy in North Las Vegas, NV

Active since March 15, 2007CLIA 29D2162738 · Waiver
3950 W LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89032(702) 631-6806(702) 631-7983 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Jul 19, 2018, Feb 26, 2018 and 1 more (4 updates tracked since 2017).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1215061031), doing business as Walmart Pharmacy 10-3728, is a healthcare organization registered as a community/retail pharmacy in North Las Vegas, Nevada and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1215061031
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address3950 W LAKE MEAD BLVDNorth Las Vegas, NV 89032-4895
Mailing Address702 Sw 8th StreetBentonville, AR 72716-0445
Phone(702) 631-6806
Fax(702) 631-7983
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 20254 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1215061031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NV · PH02226
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
3950 W LAKE MEAD BLVD, North Las Vegas, NV 89032
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-3728

Other Identifiers 2

Medicaid100511773NV
Other2052225Pk

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 29D2162738

Walmart Pharmacy-Store 3728 · N Las Vegas, NV
Active · expires Feb 27, 2027
CLIA Number29D2162738
Laboratory TypePharmacy
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorJayson A. Weir
Laboratory Phone(702) 631-6806
Laboratory LocationWalmart Pharmacy-Store 37283950 W Lake Mead Blvd, N Las Vegas, NV 89032
CLIA data matches this NPI record on: Name 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.
46 services46 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.
44 services44 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.
14 services14 patients

Other Providers at the Same Location NPPES 6

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

HOA NGUYEN PHARMD
Pharmacist
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-6806
MICHAEL VATHANASAYNEE O.D.
Optometrist
3950 W LAKE MEAD BLVD
N LAS VEGAS, NV 89032
Clark County (702) 737-2020
MICHAEL VATHANASAYNEE, O.D. PROFESSIONAL CORPORATION
Optometrist
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (714) 926-4384
LEAH NEMER PHARM D
Pharmacist
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-6806
NICOLE CLARK LDO
Technician/Technologist (Optician)
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-8472
DR. JESSICA HUEY PHARMD
Pharmacist
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-6806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1215061031. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Walmart Pharmacy 10-3728.

Where is Walmart Inc. located?

Walmart Inc. is located at 3950 W Lake Mead Blvd, North Las Vegas, NV 89032. The listed phone number is (702) 631-6806.

What is Walmart Inc.'s specialty?

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

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2162738) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walmart Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Walmart Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.