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WALMART PHARMACY 10-0124
NPI 1508883901
Pharmacy - Community/Retail Pharmacy in Little Rock, AR

Active since July 16, 2006CLIA 04D2138922 · Waiver
8801 BASELINE RD, LITTLE ROCK, AR 72209(501) 565-1164(501) 565-1259 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Aug 27, 2023, Jul 19, 2018 and 2 more (5 updates tracked since 2017).

About Walmart Pharmacy 10-0124 NPPES

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

WALMART PHARMACY 10-0124 (NPI 1508883901) is a healthcare organization registered as a community/retail pharmacy in Little Rock, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Matthew Mcmullin, Director, Contracting, as its authorized official.

NPPES Registry Identity

NPI1508883901
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address8801 BASELINE RDLittle Rock, AR 72209-5901
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(501) 565-1164
Fax(501) 565-1259
Organization SubpartNo
Authorized OfficialMatthew McmullinDirector, Contracting · (479) 371-8711
Enumeration DateJuly 16, 2006
Last NPPES UpdateNovember 6, 20235 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1508883901 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 AR · AR17774
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
8801 BASELINE RD, Little Rock, AR 72209
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-0124

Other Identifiers 2

Other1995277Pk
Medicaid123240407AR

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 04D2138922

Walmart Pharmacy 10-0124 · Little Rock, AR
Active · expires Oct 25, 2027
CLIA Number04D2138922
Laboratory TypePharmacy
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorFaneisha Smith
Laboratory Phone(501) 565-1164
Laboratory LocationWalmart Pharmacy 10-01248801 Baseline Rd, Little Rock, AR 72209
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 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.
64 services64 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.
61 services61 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal Mart Pharmacy 100124 carries, from the Medicare DMEPOS supplier directory.

Wal Mart Pharmacy 100124

DMEPOS supplier · Little Rock, AROperated by Walmart Inc
⋮

Does not accept Medicare assignment

Wal Mart Pharmacy 100124 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)20451371
Medicare Participant SinceJanuary 1, 2019
Supplier Location8801 Baseline RdLittle Rock, AR 72209
Phone(501) 565-1164
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 8

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

MARINY WHITWORTH PHARMD
Pharmacist
8801 BASELINE RD
LITTLE ROCK, AR 72209
Pulaski County (501) 565-1164
WAL-MART STORES, INC.
Eyewear Supplier
8801 BASELINE RD
LITTLE ROCK, AR 72209
Pulaski County (501) 565-0274
ENVISION EYE CARE
Optometrist
8801 BASELINE RD
LITTLE ROCK, AR 72209
Pulaski County (501) 225-5580
SUGEY ARIAS-RESENDIZ
Pharmacist
8801 BASELINE RD
LITTLE ROCK, AR 72209
Pulaski County (501) 565-1164
EDWIN DUNAWAY O.D.
Optometrist
8801 BASELINE RD
LITTLE ROCK, AR 72209
Pulaski County (501) 565-2848
DR. KAILEY ANNETTE CLAUNCH PHARMD
Pharmacist
8801 BASELINE RD
LITTLE ROCK, AR 72209
Pulaski County (501) 565-0274
FAMILY VISION CLINIC
Optometrist
8801 BASELINE RD
LITTLE ROCK, AR 72209
Pulaski County (501) 565-2848
CATHERINE LOUISE SUKUP
Pharmacist
8801 BASELINE RD
LITTLE ROCK, AR 72209
Pulaski County (501) 565-1164

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 Inc.'s NPI number?

The NPI number for Walmart Inc. is 1508883901. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-0124.

Where is Walmart Inc. located?

Walmart Inc. is located at 8801 Baseline Rd, Little Rock, AR 72209. The listed phone number is (501) 565-1164.

What is Walmart Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walmart Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal Mart Pharmacy 100124 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 Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2138922) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walmart Inc. 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 54 other insurers list Walmart Inc. 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 Walmart Inc. was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.