1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Pharmacy
  6. NPI Profile

WALMART PHARMACY 10-4365
NPI 1376091694
Pharmacy in Orlando, FL

Active since September 15, 2016CLIA 10D2190760 · Waiver
11930 NARCOOSSEE RD, ORLANDO, FL 32832(407) 204-2026(407) 204-2037 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, May 11, 2023, Mar 27, 2017 and 7 more (10 updates tracked since 2016).

About Walmart Pharmacy 10-4365 NPPES

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

WALMART PHARMACY 10-4365 (NPI 1376091694) is a healthcare organization registered as a pharmacy in Orlando, Florida and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1376091694
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST LP
Location Address11930 NARCOOSSEE RDOrlando, FL 32832-6900
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(407) 204-2026
Fax(407) 204-2037
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateSeptember 15, 2016
Last NPPES UpdateAugust 28, 202310 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1376091694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH30505
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
11930 NARCOOSSEE RD, Orlando, FL 32832
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-4365

Other Identifiers 3

Medicaid019724300FL
Other2166095Pk
Medicaid019724301 DMEFL

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 10D2190760

Wal-Mart Stores East LP · Orlando, FL
Active · expires Aug 18, 2026
CLIA Number10D2190760
Laboratory TypePharmacy
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorSarah Mulrooney
Laboratory Phone(407) 204-2026
Laboratory LocationWal-Mart Stores East LP11930 Narcoossee Road, Orlando, FL 32832
CLIA data matches this NPI record on: Address Name 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.
86 services86 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.
81 services81 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-5875 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-5875

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

Does not accept Medicare assignment

Walmart Pharmacy 10-5875 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)20498729
Medicare Participant SinceJuly 1, 2014
Supplier Location12550 Orange Blossom TrOrlando, FL 32837
Phone(407) 541-1270
Supplier Specialties
Pharmacy

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
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
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 6

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

HOA THAI NGUYEN
Pharmacist
11930 NARCOOSSEE RD
ORLANDO, FL 32832
Orange County (407) 204-2026
ASHLEY M ALAYOKU PHARMD, RPH, CPH
Pharmacist
11930 NARCOOSSEE RD
ORLANDO, FL 32832
Orange County (407) 204-2039
CATHY LAM PHARMD.
Pharmacist
11930 NARCOOSSEE RD
ORLANDO, FL 32832
Orange County (407) 204-2026
DR. CAITLYN D'ATRA JONES PHARMD
Pharmacist
11930 NARCOOSSEE RD
ORLANDO, FL 32832
Orange County (479) 268-9243
JENNY LEE LEE CHEN
Pharmacist
11930 NARCOOSSEE RD
ORLANDO, FL 32832
Orange County (407) 204-2026
JULIE BACH NGUYEN PHARMD
Pharmacist
11930 NARCOOSSEE RD
ORLANDO, FL 32832
Orange County (407) 204-2026

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 1376091694. It was assigned to this organization in the NPPES registry on September 15, 2016. The provider is doing business as Walmart Pharmacy 10-4365.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 11930 Narcoossee Rd, Orlando, FL 32832. The listed phone number is (407) 204-2026.

What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

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

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-5875 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 10D2190760) is associated with this NPI, valid through August 18, 2026. 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 28, 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.