WALMART PHARMACY 10-0149
NPI 1336166693
Pharmacy - Community/Retail Pharmacy in Jonesboro, LA

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

The NPI number for Wal-Mart Stores East LP is 1336166693. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-0149.

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 19D2129647 · Waiver

184 OLD WINNFIELD RD, JONESBORO, LA 71251(318) 259-6694 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2023, Feb 20, 2017 (2 updates tracked since 2017).

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About Walmart Pharmacy 10-0149 NPPES

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

WALMART PHARMACY 10-0149 (NPI 1336166693) is a healthcare organization registered as a community/retail pharmacy in Jonesboro, Louisiana and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Matthew Mcmullin, Director, Contracting, as its authorized official.

NPPES Registry Identity

NPI1336166693

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address184 OLD WINNFIELD RDJonesboro, LA 71251-5902

Mailing Address702 Sw 8th StBentonville, AR 72716-0445

Phone(318) 259-6694

Organization SubpartNo

Authorized OfficialMatthew McmullinDirector, Contracting · (479) 371-8711

Enumeration DateJuly 16, 2006

Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration

NPPES CertifiedDecember 1, 2023

✔ NPI 1336166693 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 LA · 4897RC

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

184 OLD WINNFIELD RD, Jonesboro, LA 71251

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Other Names 1

Doing Business AsWalmart Pharmacy 10-0149

Other Identifiers 2

Other2032505Pk

Medicaid1259080LA

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 19D2129647

Walmart Pharmacy 10-149 · Jonesboro, LA

Active · expires Apr 23, 2027

CLIA Number19D2129647

Laboratory TypePharmacy

Certificate Effective DateApril 24, 2025

Certificate Expiration DateApril 23, 2027

Laboratory DirectorAngela N. Hotard

Laboratory Phone(318) 259-6694

Laboratory LocationWalmart Pharmacy 10-149184 Old Winnfield Rd, Jonesboro, LA 71251

CLIA data matches this NPI record on: Address 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.

144 services144 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.

140 services140 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.

25 services25 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.

MRS. MIRANDA HORTON SAVANA PHARM.D

Pharmacist