WALMART PHARMACY 10-2509
NPI 1366469439
Pharmacy - Community/Retail Pharmacy in Chilton, WI

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

The NPI number for Wal-Mart Stores East LP is 1366469439. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-2509.

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 Certified · 2 labs

810 S IRISH RD, CHILTON, WI 53014(920) 849-7330(920) 849-7271 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Feb 15, 2017, Jun 27, 2016 (3 updates tracked since 2016).

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About Walmart Pharmacy 10-2509 NPPES

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

WALMART PHARMACY 10-2509 (NPI 1366469439) is a healthcare organization registered as a community/retail pharmacy in Chilton, Wisconsin and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1366469439

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address810 S IRISH RDChilton, WI 53014-1773

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

Phone(920) 849-7330

Fax(920) 849-7271

Organization SubpartNo

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

Enumeration DateJuly 16, 2006

Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration

NPPES CertifiedAugust 23, 2023

✔ NPI 1366469439 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 · 8735-42

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

810 S IRISH RD, Chilton, WI 53014

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Other Names 1

Doing Business AsWalmart Pharmacy 10-2509

Other Identifiers 2

Medicaid33219100WI

Other2115480Pk

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 2

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 52D2257156

Walmart Pharmacy 10-2509 · Chilton, WI

Active · expires Mar 30, 2028

CLIA Number52D2257156

Laboratory TypePharmacy

Certificate Effective DateMarch 31, 2026

Certificate Expiration DateMarch 30, 2028

Laboratory DirectorAlec Bear

Laboratory Phone(920) 849-7271

Laboratory LocationWalmart Pharmacy 10-2509810 S Irish Rd, Chilton, WI 53014

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2258159

Walmart Pharmacy 10-2510 · Minocqua, WI

Active · expires Apr 17, 2028

CLIA Number52D2258159

Laboratory TypePharmacy

Certificate Effective DateApril 18, 2026

Certificate Expiration DateApril 17, 2028

Laboratory DirectorKimberley Laube

Laboratory Phone(920) 849-7330

Laboratory LocationWalmart Pharmacy 10-25108760 Northridge Way, Minocqua, WI 54548

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 2

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.

154 services152 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.

149 services147 patients

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Other Providers at the Same Location NPPES 8

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

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Pharmacist