WALMART
NPI 1396195608
Community/Behavioral Health in Iron Mountain, MI

Q: What is Walmart's NPI number?

The NPI number for Walmart is 1396195608. It was assigned to this organization in the NPPES registry on June 16, 2016.

Q: What is Walmart's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Walmart was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 16, 2016CLIA 23D2129644 · Waiver

1920 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801(906) 779-7187(906) 779-3718 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Walmart NPPES

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

WALMART (NPI 1396195608) is a healthcare organization registered as a community/behavioral health in Iron Mountain, Michigan and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Leigh Ann Dighera, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1396195608

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameWALMART

Location Address1920 S STEPHENSON AVEIron Mountain, MI 49801-3641

Mailing Address1920 S Stephenson AveIron Mountain, MI 49801-3641 · (906) 779-7187 · Fax (906) 779-3718

Phone(906) 779-7187

Fax(906) 779-3718

Organization SubpartYesParent: Walmart Pharmacy

Authorized OfficialLeigh Ann DigheraPharmacist · (906) 779-4236

Enumeration DateJune 16, 2016

✔ NPI 1396195608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MI · 5302033572

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1920 S STEPHENSON AVE, Iron Mountain, MI 49801

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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 23D2129644

Walmart Pharmacy 10-2434 · Iron Mountain, MI

Active · expires Apr 23, 2027

CLIA Number23D2129644

Laboratory TypePharmacy

Certificate Effective DateApril 24, 2025

Certificate Expiration DateApril 23, 2027

Laboratory DirectorSalma Ibrahim

Laboratory Phone(906) 779-7185

Laboratory LocationWalmart Pharmacy 10-24341920 S Stephenson Avenue, Iron Mountain, MI 49801

CLIA data matches this NPI record on: Address Name

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

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.

DAVID MACALPINE BENNETT PHARMACIST

Pharmacist