WALMART PHARMACY 0342
NPI 1477919595
Pharmacist in Hiawatha, KS

Active since January 05, 2016CLIA 17D2159125 · Waiver
701 HOPI ST, HIAWATHA, KS 66434(785) 742-4213(785) 742-7699 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walmart Pharmacy 0342 NPPES

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

WALMART PHARMACY 0342 (NPI 1477919595) is a healthcare organization registered as a pharmacist in Hiawatha, Kansas and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Kellie Schroeder Meyer, Staff Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1477919595
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALMART PHARMACY 0342
Location Address701 HOPI STHiawatha, KS 66434-8929
Mailing Address701 Hopi StHiawatha, KS 66434-8929 · (785) 742-4213 · Fax (785) 742-7699
Fax(785) 742-7699
Organization SubpartNo
Authorized OfficialKellie Schroeder MeyerStaff Pharmacist · (785) 742-4213
Enumeration DateJanuary 5, 2016
NPI 1477919595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in KS · 1-11271
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
701 HOPI ST, Hiawatha, KS 66434

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 17D2159125

Walmart Pharmacy 342 · Hiawatha, KS
Active · expires Dec 11, 2026
CLIA Number17D2159125
Laboratory TypePharmacy
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorOlivier Ishimwe
Laboratory Phone(785) 742-4213
Laboratory LocationWalmart Pharmacy 342701 Hopi St, Hiawatha, KS 66434
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-0378 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-0378

DMEPOS supplier · Holton, KSOperated by Walmart Inc

Does not accept Medicare assignment

Walmart Pharmacy 10-0378 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)20445593
Medicare Participant SinceJanuary 1, 2019
Supplier Location427 S. Arizona AveHolton, KS 66436
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 5

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

Pharmacist
701 HOPI ST
HIAWATHA, KS 66434
Pharmacist
701 HOPI ST
HIAWATHA, KS 66434
Pharmacist
701 HOPI ST
HIAWATHA, KS 66434
Pharmacist
701 HOPI ST
HIAWATHA, KS 66434
Pharmacy (Community/Retail Pharmacy)
701 HOPI ST
HIAWATHA, KS 66434

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 Walmart Pharmacy 0342's NPI number?

The NPI number for Walmart Pharmacy 0342 is 1477919595. It was assigned to this organization in the NPPES registry on January 5, 2016.

Where is Walmart Pharmacy 0342 located?

Walmart Pharmacy 0342 is located at 701 Hopi St, Hiawatha, KS 66434. The listed phone number is (785) 742-4213.

What is Walmart Pharmacy 0342's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Walmart Pharmacy 0342 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-0378 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 Walmart Pharmacy 0342 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2159125) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walmart Pharmacy 0342 was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.