WALMART PHARMACY 10-5927
NPI 1477931046
Pharmacy - Community/Retail Pharmacy in Florissant, MO

Q: What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1477931046. It was assigned to this organization in the NPPES registry on May 14, 2015. The provider is doing business as Walmart Pharmacy 10-5927.

Q: 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.

Active since May 14, 2015CLIA 26D2142781 · Waiver

3390 N HIGHWAY 67, FLORISSANT, MO 63033(314) 824-0022(317) 824-0021 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2023, Feb 20, 2017 (2 updates tracked since 2017).

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About Walmart Pharmacy 10-5927 NPPES

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

WALMART PHARMACY 10-5927 (NPI 1477931046) is a healthcare organization registered as a community/retail pharmacy in Florissant, Missouri and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1477931046

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address3390 N HIGHWAY 67Florissant, MO 63033-1605

Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (314) 824-0022 · Fax (314) 824-0021

Phone(314) 824-0022

Fax(317) 824-0021

Organization SubpartNo

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

Enumeration DateMay 14, 2015

Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1477931046 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 MO · 2015026287

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

3390 N HIGHWAY 67, Florissant, MO 63033

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Other Names 1

Doing Business AsWalmart Pharmacy 10-5927

Other Identifiers 2

Medicaid1477931046MO

Other2152326Pk

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 26D2142781

Walmart Pharmacy 10-5927 · Florissant, MO

Active · expires Jan 18, 2028

CLIA Number26D2142781

Laboratory TypePharmacy

Certificate Effective DateJanuary 19, 2026

Certificate Expiration DateJanuary 18, 2028

Laboratory DirectorVijaya Kode

Laboratory Phone(314) 824-0022

Laboratory LocationWalmart Pharmacy 10-59273390 N Highway 67, Florissant, MO 63033

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.

57 services57 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.

49 services49 patients

Other Providers at the Same Location NPPES 6

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

WAL-MART STORES EAST, LP

Eyewear Supplier