WALMART PHARMACY
NPI 1427487396
Pharmacy - Community/Retail Pharmacy in Port St Lucie, FL
NPI Status: Active since November 01, 2013
Contact Information
1675 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL
ZIP 34986
Phone: (772) 873-1616
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 10D2178974
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 02-11-2026
About WALMART PHARMACY
This page provides the complete NPI Profile along with additional information for Walmart Pharmacy, a provider established in Port St Lucie, Florida operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1427487396 assigned on November 2013. The practitioner's primary taxonomy code is 3336C0003X with license number PS27882 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. John D Chiarelli Bs (Manger Pharmacy)
- NPI
- 1427487396
- Provider Name
- WALMART PHARMACY
- Entity Type
- Organization
- Location Address
- 1675 NW SAINT LUCIE WEST BLVD PORT ST LUCIE, FL 34986
- Location Phone
- (772) 873-1616
- Mailing Address
- 1675 NW SAINT LUCIE WEST BLVD PORT ST LUCIE, FL 34986
- Mailing Phone
- (772) 873-1616
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-01-2013
- Last Update Date
- 11-01-2013
- Code Navigator
Walmart Pharmacy is a medicare supplier with PTAN 20493245 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Ostomy Supplies or Prosthetic Lenses: Conventional Eyeglasses or Enteral Nutrients or Surgical Dressings.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- PS27882
- License State
- FL
- Taxonomy Description
- 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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20493245
- Accepts Medicare Assignment
- NO
- Specialities List
- Pharmacy, Optician.
- Competitive Bidding
- NO
Supplies List
- 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
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Enteral Nutrients - Enteral formula
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2178974
- Facility Type
- Pharmacy
- Certificate Effective Date
- February 12, 2024
- Certificate Expiration Date
- February 11, 2026
- Laboratory Director
- BRANDON WILDERMUTH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walmart Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1427487396, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
PORT ST LUCIE, FL 34986
PORT ST LUCIE, FL 34986
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427487396, enumerated as an "organization" on November 01, 2013.
The provider is located at 1675 NW SAINT LUCIE WEST BLVD PORT ST LUCIE, FL 34986 and the phone number is (772) 873-1616.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
