WALMART PHARMACY 10-0013
NPI 1447278973
Pharmacy - Community/Retail Pharmacy in Carthage, MO

Active since July 17, 2006CLIA 26D2129731 · Waiver
2705 S GRAND AVE, CARTHAGE, MO 64836(417) 358-8839 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2023, Aug 26, 2023, Feb 20, 2017 (3 updates tracked since 2017).

About Walmart Pharmacy 10-0013 NPPES

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

WALMART PHARMACY 10-0013 (NPI 1447278973) is a healthcare organization registered as a community/retail pharmacy in Carthage, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Matthew Mcmullin, Director, Contracting, as its authorized official.

NPPES Registry Identity

NPI1447278973
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address2705 S GRAND AVECarthage, MO 64836-7907
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialMatthew McmullinDirector, Contracting · (479) 371-8711
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1447278973 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 MO · 2002009441
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
2705 S GRAND AVE, Carthage, MO 64836

Other Names 1

Doing Business AsWalmart Pharmacy 10-0013

Other Identifiers 2

Other2049875Pk
Medicaid600284749MO

Accepted 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 26D2129731

Walmart Pharmacy 10-0013 · Carthage, MO
Active · expires Apr 24, 2027
CLIA Number26D2129731
Laboratory TypePharmacy
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorLori K. Taylor
Laboratory Phone(417) 358-8839
Laboratory LocationWalmart Pharmacy 10-001327058 Grand Ave, Carthage, MO 64836
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
193 services188 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.
181 services176 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
25 services25 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal Mart Pharmacy 10-0013 carries, from the Medicare DMEPOS supplier directory.

Wal Mart Pharmacy 10-0013

DMEPOS supplier · Carthage, MOOperated by Wal-Mart Stores East, LP

Does not accept Medicare assignment

Wal Mart Pharmacy 10-0013 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)20502599
Medicare Participant SinceJuly 1, 2014
Supplier Location2705 S Grand AveCarthage, MO 64836
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 4

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

Pharmacist
2705 S GRAND AVE
CARTHAGE, MO 64836
Pharmacist
2705 S GRAND AVE
CARTHAGE, MO 64836
Pharmacist
2705 S GRAND AVE
CARTHAGE, MO 64836
Pharmacist
2705 S GRAND AVE
CARTHAGE, MO 64836

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 1447278973. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider is doing business as Walmart Pharmacy 10-0013.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 2705 S Grand Ave, Carthage, MO 64836. The listed phone number is (417) 358-8839.

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, Wal Mart Pharmacy 10-0013 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 26D2129731) is associated with this NPI, valid through April 24, 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 52 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 November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.