WALMART PHARMACY 10-5693
NPI 1528333499
Pharmacy - Community/Retail Pharmacy in Springfield, MO

Active since March 12, 2012CLIA 26D2144211 · Waiver
1320 S GLENSTONE AVE, SPRINGFIELD, MO 65804(417) 520-1525 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

About Walmart Pharmacy 10-5693 NPPES

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

WALMART PHARMACY 10-5693 (NPI 1528333499) is a healthcare organization registered as a community/retail pharmacy in Springfield, Missouri and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Matthew Mcmullin, Director, as its authorized official.

NPPES Registry Identity

NPI1528333499
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST , LP
Location Address1320 S GLENSTONE AVESpringfield, MO 65804-0302
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 277-1238 · Fax (479) 277-4331
Organization SubpartNo
Authorized OfficialMatthew McmullinDirector · (479) 371-8711
Enumeration DateMarch 12, 2012
Last NPPES UpdateMay 29, 20242 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
NPI 1528333499 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 · 2012013732
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
1320 S GLENSTONE AVE, Springfield, MO 65804

Other Names 1

Doing Business AsWalmart Pharmacy 10-5693

Other Identifiers 2

Other2134329Pk
Medicaid1528333499MO

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 26D2144211

Walmart Pharmacy 10- 5693 · Springfield, MO
Active · expires Feb 12, 2028
CLIA Number26D2144211
Laboratory TypePharmacy
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorCody Smith
Laboratory Phone(479) 277-2374
Laboratory LocationWalmart Pharmacy 10- 56931320 S Glenstone Ave, Springfield, MO 65804
CLIA data matches this NPI record on: Address Name
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 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.
101 services101 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.
97 services97 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.
13 services13 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-5693 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-5693

DMEPOS supplier · Springfield, MOOperated by Wal-Mart Stores East, LP

Does not accept Medicare assignment

Walmart Pharmacy 10-5693 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)20503463
Medicare Participant SinceJuly 1, 2014
Supplier Location1320 S Glenstone AveSpringfield, MO 65804
Supplier Specialties
Pharmacy

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 4

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

Pharmacist
1320 S GLENSTONE AVE
SPRINGFIELD, MO 65804
Pharmacist
1320 S GLENSTONE AVE
SPRINGFIELD, MO 65804
Pharmacist
1320 S GLENSTONE AVE
SPRINGFIELD, MO 65804
Pharmacist
1320 S GLENSTONE AVE
SPRINGFIELD, MO 65804

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 1528333499. It was assigned to this organization in the NPPES registry on March 12, 2012.

Where is Wal-Mart Stores East , LP located?

Wal-Mart Stores East , LP is located at 1320 S Glenstone Ave, Springfield, MO 65804. The listed phone number is (417) 520-1525.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-5693 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 Wal-Mart Stores East , LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2144211) is associated with this NPI, valid through February 12, 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 52 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 May 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.