WALMART INC.
NPI 1427497643
Pharmacy - Community/Retail Pharmacy in Medford, OR

Q: What is Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1427497643. It was assigned to this organization in the NPPES registry on June 20, 2013. The provider is doing business as WalMart Pharmacy 10-5839.

Q: What is Walmart Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 20, 2013CLIA 38D2332588 · Waiver

3615 CRATER LAKE HWY, MEDFORD, OR 97504(541) 227-5403(541) 227-5397 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Aug 29, 2023, Jul 19, 2018 and 2 more (5 updates tracked since 2017).

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About Walmart Inc. NPPES

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

WALMART INC. (NPI 1427497643), doing business as Walmart Pharmacy 10-5839, is a healthcare organization registered as a community/retail pharmacy in Medford, Oregon and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1427497643

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALMART INC.

Location Address3615 CRATER LAKE HWYMedford, OR 97504-9259

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8741 · Fax (479) 277-4331

Phone(541) 227-5403

Fax(541) 227-5397

Organization SubpartNo

Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500

Enumeration DateJune 20, 2013

Last NPPES UpdateSeptember 19, 20255 updates tracked since enumeration

NPPES CertifiedAugust 29, 2023

✔ NPI 1427497643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in OR · RP-0002811-CS

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

3615 CRATER LAKE HWY, Medford, OR 97504

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Other Names 1

Doing Business AsWalmart Pharmacy 10-5839

Other Identifiers 1

Other2140891Pk

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 38D2332588

Walmart Pharmacy 10-5839 · Medford, OR

Active · expires Oct 20, 2027

CLIA Number38D2332588

Laboratory TypePharmacy

Certificate Effective DateOctober 21, 2025

Certificate Expiration DateOctober 20, 2027

Laboratory DirectorZachary Aalberg

Laboratory Phone(541) 227-5403

Laboratory LocationWalmart Pharmacy 10-58393615 Crater Lake Hwy, Medford, OR 97504

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.

183 services181 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.

177 services176 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-5839 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-5839

DMEPOS supplier · Medford, OROperated by Walmart Inc

⋮

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-5839 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)20440859

Medicare Participant SinceJanuary 1, 2019

Supplier Location3615 Crater Lake HwyMedford, OR 97504

Phone(541) 227-5403

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 8

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

JEFFREY HARDER RPH

Pharmacist