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WAL-MART PHARMACY
NPI 1376560698
Pharmacy - Community/Retail Pharmacy in Louisville, KY

Active since July 16, 2006CLIA 18D2144951 · Waiver
4840 OUTER LOOP, LOUISVILLE, KY 40219(502) 968-8776 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wal-mart Pharmacy NPPES

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

WAL-MART PHARMACY (NPI 1376560698) is a healthcare organization registered as a community/retail pharmacy in Louisville, Kentucky and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Randy Wright, Phy Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1376560698
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address4840 OUTER LOOPLouisville, KY 40219-3302
Mailing Address702 Sw 8th StBentonville, AR 72716-6209
Phone(502) 968-8776
Organization SubpartNo
Authorized OfficialRandy WrightPhy Enrollment Specialist · (479) 273-6574
Enumeration DateJuly 16, 2006
Last NPPES UpdateFebruary 28, 2008
✔ NPI 1376560698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in KY · PO2116
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.
4840 OUTER LOOP, Louisville, KY 40219
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Other Names 1

Doing Business AsWal-mart Pharmacy

Other Identifiers 5

Other1819222Other Id Number
Medicaid5400733100KY
Medicaid5402301500KY
Medicare NSC4355051130
Other1819222Other Id Number-commercial Number

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 18D2144951

Wal-Mart Pharmacy 10-5417 · Louisville, KY
Active · expires Feb 26, 2028
CLIA Number18D2144951
Laboratory TypePharmacy
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorMs. Angele Vincent
Laboratory Phone(479) 277-1039
Laboratory LocationWal-Mart Pharmacy 10-5417175 Outer Loop, Louisville, KY 40214
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-6931 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-6931

DMEPOS supplier · Louisville, KYOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-6931 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)20489159
Medicare Participant SinceJuly 1, 2014
Supplier Location4840 Outer LoopLouisville, KY 40219
Phone(502) 313-6350
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
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 7

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

LISA D SALMONS PHARMD.
Pharmacist
4840 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 313-6351
MOLLY MURTAUGH
Pharmacist
4840 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 313-6350
MARIELYS MARIE SANTANA RIVERA RPH
Pharmacist
4840 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 313-6351
WAL-MART STORES EAST, LP
Eyewear Supplier
4840 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 313-6348
WAL-MART STORES EAST LP
Pharmacy
4840 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 313-6350
DR. KAELYN BROOK YATES PHARMD
Pharmacist
4840 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 313-6350
PATRICIA KAY PIERATT
Technician/Technologist (Optician)
4840 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 313-6348

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 1376560698. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Wal-Mart Pharmacy.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 4840 Outer Loop, Louisville, KY 40219. The listed phone number is (502) 968-8776.

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, Walmart Pharmacy 10-6931 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 18D2144951) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.