WALMART PHARMACY 10-2986
NPI 1336166404
Pharmacy - Community/Retail Pharmacy in Neenah, WI

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

The NPI number for Wal-Mart Stores East LP is 1336166404. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-2986.

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 52D2258981 · Waiver

1155 W WINNECONNE AVE, NEENAH, WI 54956(920) 722-1185(920) 722-1446 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2023, Feb 15, 2017 (2 updates tracked since 2017).

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About Walmart Pharmacy 10-2986 NPPES

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

WALMART PHARMACY 10-2986 (NPI 1336166404) is a healthcare organization registered as a community/retail pharmacy in Neenah, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1336166404

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address1155 W WINNECONNE AVENeenah, WI 54956-3693

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331

Phone(920) 722-1185

Fax(920) 722-1446

Organization SubpartNo

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

Enumeration DateJuly 16, 2006

Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1336166404 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 WI · 8369-42

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

1155 W WINNECONNE AVE, Neenah, WI 54956

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Other Names 1

Doing Business AsWalmart Pharmacy 10-2986

Other Identifiers 2

Other2110142Pk

Medicaid33273700WI

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 52D2258981

Walmart Pharmacy 10-3245 · Hayward, WI

Active · expires Apr 28, 2028

CLIA Number52D2258981

Laboratory TypePharmacy

Certificate Effective DateApril 29, 2026

Certificate Expiration DateApril 28, 2028

Laboratory DirectorJennifer Beem

Laboratory Phone(920) 722-1185

Laboratory LocationWalmart Pharmacy 10-324515594 State Highway 77, Hayward, WI 54843

CLIA data matches this NPI record on: 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.

116 services116 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.

114 services114 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.

13 services13 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.

13 services13 patients

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.

BRENDA KOBIN

Pharmacist