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WAL-MART PHARMACY 10-1227
NPI 1396762613
Pharmacy - Community/Retail Pharmacy in Augusta, GA

Active since July 16, 2006CLIA 11D2176211 · Waiver
260 BOBBY JONES EXPY, AUGUSTA, GA 30907(706) 860-0699 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, Feb 28, 2017, Dec 21, 2016 (3 updates tracked since 2016).

About Wal-mart Pharmacy 10-1227 NPPES

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

WAL-MART PHARMACY 10-1227 (NPI 1396762613) is a healthcare organization registered as a community/retail pharmacy in Augusta, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1396762613
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address260 BOBBY JONES EXPYAugusta, GA 30907-2433
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(706) 860-0699
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1396762613 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 GA · PHRE006994
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
260 BOBBY JONES EXPY, Augusta, GA 30907
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Other Names 1

Doing Business AsWal-mart Pharmacy 10-1227

Other Identifiers 2

Medicaid00380146AGA
Other2015928Pk

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 11D2176211

Walmart Pharmacy 10-1227 · Augusta, GA
Active · expires Dec 9, 2027
CLIA Number11D2176211
Laboratory TypePharmacy
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorBrandon Jump
Laboratory Phone(706) 860-0699
Laboratory LocationWalmart Pharmacy 10-1227260 Bobby Jones Expy, Augusta, GA 30907
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 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.
54 services54 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.
47 services47 patients

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.

BRANDON JUMP
Pharmacist
260 BOBBY JONES EXPY
AUGUSTA, GA 30907
Columbia County (706) 860-0699
SKYLAR HENDRICKS BURPEE
Pharmacist
260 BOBBY JONES EXPY
AUGUSTA, GA 30907
Columbia County (706) 860-0699
SMITA DESAI
Pharmacist
260 BOBBY JONES EXPY
AUGUSTA, GA 30907
Columbia County (706) 631-4511
WAL-MART STORES EAST, LP
Eyewear Supplier
260 BOBBY JONES EXPY
AUGUSTA, GA 30907
Columbia County (706) 860-0170
PATRICK STINCHCOMB
Pharmacist
260 BOBBY JONES EXPY
AUGUSTA, GA 30907
Columbia County (706) 860-0699
CHRISTOPHER WOHLFORD
Pharmacist
260 BOBBY JONES EXPY
AUGUSTA, GA 30907
Columbia County (479) 899-7650
SAM'S CLUB OPTICAL
Technician/Technologist (Optician)
260 BOBBY JONES EXPY
AUGUSTA, GA 30907
Columbia County (706) 863-7846

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 1396762613. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Wal-Mart Pharmacy 10-1227.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 260 Bobby Jones Expy, Augusta, GA 30907. The listed phone number is (706) 860-0699.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2176211) is associated with this NPI, valid through December 9, 2027. 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 49 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 29, 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.