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WAL-MART PHARMACY
NPI 1548711484
Pharmacy - Community/Retail Pharmacy in Wichita, KS

Active since October 15, 2016CLIA 17D2167029 · Waiver
2200 S ROCK RD, APARTMENT 1014, WICHITA, KS 67207(734) 945-9043 Get Directions Write a Review

NPPES record last updated: October 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wal-mart Pharmacy NPPES

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

WAL-MART PHARMACY (NPI 1548711484) is a healthcare organization registered as a community/retail pharmacy in Wichita, Kansas and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Munjal Attawala, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1548711484
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART PHARMACY
Location Address2200 S ROCK RD, APARTMENT 1014Wichita, KS 67207-5300
Mailing Address2200 S Rock Rd, Apartment 1014Wichita, KS 67207-5300
Phone(734) 945-9043
Organization SubpartNo
Authorized OfficialMunjal AttawalaPharmacist · (734) 945-9043
Enumeration DateOctober 15, 2016
✔ NPI 1548711484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in KS · 1-100436
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.
2200 S ROCK RD, Wichita, KS 67207
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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 17D2167029

Wal-Mart Pharmacy 03492 · Wichita, KS
Active · expires May 30, 2027
CLIA Number17D2167029
Laboratory TypePharmacy
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorBinh K. Ly
Laboratory Phone(316) 683-8463
Laboratory LocationWal-Mart Pharmacy 0349211411 East Kellogg Dr, Wichita, KS 67207
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-4321 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-4321

DMEPOS supplier · Wichita, KSOperated by Walmart Inc
⋮

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-4321 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)20442173
Medicare Participant SinceJanuary 1, 2019
Supplier Location5475 North MeridianWichita, KS 67204
Phone(316) 831-9057
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.

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 Pharmacy's NPI number?

The NPI number for Wal-Mart Pharmacy is 1548711484. It was assigned to this organization in the NPPES registry on October 15, 2016.

Where is Wal-Mart Pharmacy located?

Wal-Mart Pharmacy is located at 2200 S Rock Rd Apartment 1014, Wichita, KS 67207. The listed phone number is (734) 945-9043.

What is Wal-Mart Pharmacy's specialty?

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

Does Wal-Mart Pharmacy accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-4321 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 Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2167029) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wal-Mart Pharmacy was last updated on October 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.