WALMART INC.
NPI 1255358628
Pharmacy - Community/Retail Pharmacy in Phoenix, AZ

Active since July 16, 2006CLIA 03D2135043 · Waiver
6145 N 35TH AVE, PHOENIX, AZ 85017(602) 973-6561 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 13, 2025, Jul 19, 2018, May 18, 2018 and 3 more (6 updates tracked since 2016).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1255358628), doing business as Walmart Pharmacy 10-5330, is a healthcare organization registered as a community/retail pharmacy in Phoenix, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1255358628
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address6145 N 35TH AVEPhoenix, AZ 85017-1940
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 13, 20256 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
NPI 1255358628 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 AZ · Y004197
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
6145 N 35TH AVE, Phoenix, AZ 85017

Other Names 1

Doing Business AsWalmart Pharmacy 10-5330

Other Identifiers 2

Other1991882Pk
Medicaid935299AZ

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 27 times for 27 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 26 times for 26 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20441297
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Optician.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2135043
Facility Type
Pharmacy
Certificate Effective Date
August 14, 2025
Certificate Expiration Date
August 13, 2027
Laboratory Director
COLLEEN CARROLL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walmart Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WALMART INC.

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Optometrist
6145 N 35TH AVE
PHOENIX, AZ 85017
Pharmacist
6145 N 35TH AVE
PHOENIX, AZ 85017
Pharmacist
6145 N 35TH AVE
PHOENIX, AZ 85017
Pharmacist
6145 N 35TH AVE
PHOENIX, AZ 85017
Pharmacist
6145 N 35TH AVE
PHOENIX, AZ 85017
Optometrist
6145 N 35TH AVE
PHOENIX, AZ 85017
Optometrist
6145 N 35TH AVE
PHOENIX, AZ 85017
Technician/Technologist (Optician)
6145 N 35TH AVE
PHOENIX, AZ 85017
Pharmacist
6145 N 35TH AVE
PHOENIX, AZ 85017
Eyewear Supplier
6145 N 35TH AVE
PHOENIX, AZ 85017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255358628, enumerated as an "organization" on July 16, 2006.

The provider is located at 6145 N 35TH AVE PHOENIX, AZ 85017 and the phone number is (602) 973-6561.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.