WALMART PHARMACY 10-4388
NPI 1477901676
Pharmacy in Waynesboro, VA

Active since May 27, 2016CLIA 49D2115587 · Waiver
1211 W BROAD ST, WAYNESBORO, VA 22980(540) 943-4637 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2023, Feb 15, 2017, Jan 18, 2017 and 2 more (5 updates tracked since 2016).

About Walmart Pharmacy 10-4388 NPPES

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

WALMART PHARMACY 10-4388 (NPI 1477901676) is a healthcare organization registered as a pharmacy in Waynesboro, Virginia and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1477901676
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST LP
Location Address1211 W BROAD STWaynesboro, VA 22980-4326
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-6180 · Fax (479) 277-4331
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateMay 27, 2016
Last NPPES UpdateAugust 23, 20235 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1477901676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in VA · 0201004725
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1211 W BROAD ST, Waynesboro, VA 22980

Other Names 1

Doing Business AsWalmart Pharmacy 10-4388

Other Identifiers 2

Other2160445Pk
Medicaid1477901676VA

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 49D2115587

Wal-Mart Stores, East, LP Dba Wal-Mart Pharmacy 10-4388 · Waynesboro, VA
Active · expires Jul 10, 2028
CLIA Number49D2115587
Laboratory TypePharmacy
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorGlenn L. Wright
Laboratory Phone(540) 943-4637
Laboratory LocationWal-Mart Stores, East, LP Dba Wal-Mart Pharmacy 10-43881211 West Broad Street, Suite A, Waynesboro, VA 22980
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
210 services207 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.
200 services197 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.
42 services42 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
24 services24 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20497913
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
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
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 3

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

Pharmacist
1211 W BROAD ST
WAYNESBORO, VA 22980
Pharmacy Technician
1211 W BROAD ST
WAYNESBORO, VA 22980
Pharmacy Technician
1211 W BROAD ST
WAYNESBORO, VA 22980

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477901676, enumerated as an "organization" on May 27, 2016.

The provider is located at 1211 W BROAD ST WAYNESBORO, VA 22980 and the phone number is (540) 943-4637.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.