WALMART PHARMACY 10-1283
NPI 1508883984
Pharmacy - Community/Retail Pharmacy in Starke, FL

Active since July 16, 2006CLIA 10D2179739 · Waiver
14500 US HIGHWAY 301 S, STARKE, FL 32091(904) 964-3290 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2023, Feb 16, 2017 (2 updates tracked since 2017).

About Walmart Pharmacy 10-1283 NPPES

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

WALMART PHARMACY 10-1283 (NPI 1508883984) is a healthcare organization registered as a community/retail pharmacy in Starke, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1508883984
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address14500 US HIGHWAY 301 SStarke, FL 32091-7858
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1508883984 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 FL · PH15424
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
14500 US HIGHWAY 301 S, Starke, FL 32091

Other Names 1

Doing Business AsWalmart Pharmacy 10-1283

Other Identifiers 2

Medicaid100490500FL
Other2009306Pk

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 10D2179739

Wal-Mart Store East LP · Starke, FL
Active · expires Mar 1, 2028
CLIA Number10D2179739
Laboratory TypePharmacy
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorUpadhyay S. Viral
Laboratory Phone(904) 964-3290
Laboratory LocationWal-Mart Store East LP14500 Us Hwy 301 South, Starke, FL 32091
CLIA data matches this NPI record on: Address 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.

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 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.
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 services11 patients

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.

Pharmacist
14500 US HIGHWAY 301 S
STARKE, FL 32091
Pharmacist
14500 US HIGHWAY 301 S
STARKE, FL 32091
Technician/Technologist (Optician)
14500 US HIGHWAY 301 S
STARKE, FL 32091
Eyewear Supplier
14500 US HIGHWAY 301 S
STARKE, FL 32091

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 Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1508883984. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 14500 Us Highway 301 S, Starke, FL 32091. The listed phone number is (904) 964-3290.

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.

Does Wal-Mart Stores East LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2179739) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wal-Mart Stores East LP 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 50 other insurers list Wal-Mart Stores East LP 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 Wal-Mart Stores East LP was last updated on August 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.