WAL-MART PHARMACY 10-1469
NPI 1497772677
Pharmacy - Community/Retail Pharmacy in Chattanooga, TN

Active since July 16, 2006CLIA Certified · 2 labs
2020 GUNBARREL RD, CHATTANOOGA, TN 37421(423) 855-0803(423) 855-4631 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 30, 2023, Feb 16, 2017 (2 updates tracked since 2017).

About Wal-mart Pharmacy 10-1469 NPPES

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

WAL-MART PHARMACY 10-1469 (NPI 1497772677) is a healthcare organization registered as a community/retail pharmacy in Chattanooga, Tennessee and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1497772677
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address2020 GUNBARREL RDChattanooga, TN 37421-2679
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Fax(423) 855-4631
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1497772677 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 TN · 2111
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
2020 GUNBARREL RD, Chattanooga, TN 37421

Other Names 1

Doing Business AsWal-mart Pharmacy 10-1469

Other Identifiers 2

Other2090838Pk
Medicaid1454079TN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

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 44D2146944

Walmart Pharmacy 10-1469 · Chattanooga, TN
Active · expires Apr 9, 2028
CLIA Number44D2146944
Laboratory TypePharmacy
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorChristine Black
Laboratory Phone(423) 855-0803
Laboratory LocationWalmart Pharmacy 10-14692020 Gunbarrel Road Ste 250, Chattanooga, TN 37421
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2139700

Walmart Pharmacy 10-1561 · Memphis, TN
Active · expires Nov 6, 2027
CLIA Number44D2139700
Laboratory TypePharmacy
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorCassie M. Namowicz
Laboratory Phone(423) 855-0803
Laboratory LocationWalmart Pharmacy 10-15613950 Austin Peay Hwy, Memphis, TN 38128
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2145402

Walmart Pharmacy 10-5143 · Chattanooga, TN
Active · expires Mar 5, 2028
CLIA Number44D2145402
Laboratory TypePharmacy
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorMelissa H. Lee
Laboratory Phone(423) 508-1195
Laboratory LocationWalmart Pharmacy 10-51438101 East Brainerd Road, Chattanooga, TN 37421
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.
113 services113 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.
111 services111 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.
18 services18 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.
17 services17 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20502287
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Optician.
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
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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.

Optometrist
2020 GUNBARREL RD, SUITE 100 E
CHATTANOOGA, TN 37421
Pharmacist
2020 GUNBARREL RD
CHATTANOOGA, TN 37421
Optometrist
2020 GUNBARREL RD
CHATTANOOGA, TN 37421
Eyewear Supplier
2020 GUNBARREL RD
CHATTANOOGA, TN 37421

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497772677, enumerated as an "organization" on July 16, 2006.

The provider is located at 2020 GUNBARREL RD CHATTANOOGA, TN 37421 and the phone number is (423) 855-0803.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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