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WALMART PHARMACY 10-2814
NPI 1306863709
Pharmacy - Community/Retail Pharmacy in Hialeah Gardens, FL

Active since July 16, 2006CLIA 10D2188904 · Waiver
9300 NW 77TH AVE, HIALEAH GARDENS, FL 33016(305) 819-0858 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 29, 2023, May 10, 2023, Feb 16, 2017 (3 updates tracked since 2017).

About Walmart Pharmacy 10-2814 NPPES

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

WALMART PHARMACY 10-2814 (NPI 1306863709) is a healthcare organization registered as a community/retail pharmacy in Hialeah Gardens, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1306863709
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address9300 NW 77TH AVEHialeah Gardens, FL 33016-2504
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(305) 819-0858
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 1306863709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH17468
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
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
9300 NW 77TH AVE, Hialeah Gardens, FL 33016
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Other Names 1

Doing Business AsWalmart Pharmacy 10-2814

Other Identifiers 3

Medicaid022319100FL
Other2013468Pk
Medicaid22319100FL

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 10D2188904

Wal-Mart Stores East, LP · Hialeah Gardens, FL
Active · expires Jul 22, 2028
CLIA Number10D2188904
Laboratory TypePharmacy
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorMaylin Blanco
Laboratory Phone(305) 819-0858
Laboratory LocationWal-Mart Stores East, LP9300 NW 77th Ave, Hialeah Gardens, FL 33016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-2814 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-2814

DMEPOS supplier · Hialeah Gardens, FLOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-2814 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)20494181
Medicare Participant SinceJuly 1, 2014
Supplier Location9300 NW 77th AveHialeah Gardens, FL 33016
Phone(305) 819-0858
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
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
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 11

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

KAREN CABALLERO ORTIZ
Pharmacist
9300 NW 77TH AVE
HIALEAH GARDENS, FL 33016
Miami-Dade County (305) 819-0672
MR. ALFREDO S GUILLEN DO
Technician/Technologist (Optician)
9300 NW 77TH AVE
HIALEAH GARDENS, FL 33016
Miami-Dade County (305) 819-2313
ALICIA GIRO MARTINEZ
Pharmacist
9300 NW 77TH AVE
MIAMI LAKES, FL 33016
Miami-Dade County (305) 819-0858
CHRISTOPHER JORGES
Pharmacy
9300 NW 77TH AVE
MIAMI LAKES, FL 33016
Miami-Dade County (305) 819-0858
CARLOS FERNANDEZ PERDOMO LDO 7534
Technician/Technologist (Optician)
9300 NW 77TH AVE
HIALEAH GARDENS, FL 33016
Miami-Dade County (305) 819-2313
MRS. DIANELYS YGLESIAS PIEDRA DO7921
Technician/Technologist (Optician)
9300 NW 77TH AVE
HIALEAH GARDENS, FL 33016
Miami-Dade County (305) 819-2313
ANELIS DIAZ-MASEDA
Technician/Technologist (Optician)
9300 NW 77TH AVE
HIALEAH GARDENS, FL 33016
Miami-Dade County (305) 819-0672
WAL-MART STORES EAST, LP
Eyewear Supplier
9300 NW 77TH AVE
HIALEAH GARDENS, FL 33016
Miami-Dade County (305) 819-0672

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 Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1306863709. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-2814.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 9300 NW 77th Ave, Hialeah Gardens, FL 33016. The listed phone number is (305) 819-0858.

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.

Does Wal-Mart Stores East LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-2814 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 Wal-Mart Stores East LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2188904) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wal-Mart Stores East LP 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 Wal-Mart Stores East LP 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 Wal-Mart Stores East LP was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.