WALMART INC.
NPI 1215285408
Pharmacy - Community/Retail Pharmacy in Lakeville, MN

Active since August 21, 2012CLIA 24D2098071 · Waiver
20710 KEOKUK AVE, LAKEVILLE, MN 55044(612) 354-5934 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Aug 30, 2023, Jul 19, 2018 and 3 more (6 updates tracked since 2015).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1215285408), doing business as Walmart Pharmacy 10-5992, is a healthcare organization registered as a community/retail pharmacy in Lakeville, Minnesota and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1215285408
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address20710 KEOKUK AVELakeville, MN 55044-6620
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 277-1238 · Fax (479) 277-4331
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateAugust 21, 2012
Last NPPES UpdateSeptember 19, 20256 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1215285408 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 MN · 263970
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
20710 KEOKUK AVE, Lakeville, MN 55044

Other Names 1

Doing Business AsWalmart Pharmacy 10-5992

Other Identifiers 2

Other2136643Pk
Medicaid1215285408MN

Accepted 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 24D2098071

Walmart Pharmacy 10-5992 · Burnsville, MN
Active · expires Jun 29, 2027
CLIA Number24D2098071
Laboratory TypePharmacy
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorAshley Hoffman
Laboratory Phone(612) 354-5934
Laboratory LocationWalmart Pharmacy 10-599214348 Burnhaven Dr., Burnsville, MN 55306
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 4

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.
177 services175 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.
169 services167 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.
38 services38 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-5992 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-5992

DMEPOS supplier · Lakeville, MNOperated by Walmart Inc

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-5992 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20442041
Medicare Participant SinceJanuary 1, 2019
Supplier Location20710 Keokuk AveLakeville, MN 55044
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

Pharmacist
20710 KEOKUK AVE
LAKEVILLE, MN 55044
Pharmacist
20710 KEOKUK AVE
LAKEVILLE, MN 55044
Pharmacist
20710 KEOKUK AVE
LAKEVILLE, MN 55044
Eyewear Supplier
20710 KEOKUK AVE
LAKEVILLE, MN 55044
Optometrist
20710 KEOKUK AVE
LAKEVILLE, MN 55044

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 1215285408. It was assigned to this organization in the NPPES registry on August 21, 2012. The provider is doing business as WalMart Pharmacy 10-5992.

Where is Walmart Inc. located?

Walmart Inc. is located at 20710 Keokuk Ave, Lakeville, MN 55044. The listed phone number is (612) 354-5934.

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. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-5992 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2098071) is associated with this NPI, valid through June 29, 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 50 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 September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.