WALMART PHARMACY
NPI 1578010583
Clinic/Center - Community Health in Pineville, LA

Active since September 07, 2016CLIA 19D2141232 · Waiver
3636 MONROE HWY, PINEVILLE, LA 71360(318) 640-6900 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walmart Pharmacy NPPES

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

WALMART PHARMACY (NPI 1578010583) is a healthcare organization registered as a community health in Pineville, Louisiana and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Vinh Cong Bui, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1578010583
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameWALMART PHARMACY
Location Address3636 MONROE HWYPineville, LA 71360-4127
Mailing Address3636 Monroe HwyPineville, LA 71360-4127 · (318) 640-6900
Organization SubpartNo
Authorized OfficialVinh Cong BuiPharmacist · (318) 640-8282
Enumeration DateSeptember 7, 2016
NPI 1578010583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License Licensed in LA · 017879
3636 MONROE HWY, Pineville, LA 71360

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 19D2141232

Walmart Pharmacy #10-3736 · Pineville, LA
Active · expires Dec 10, 2027
CLIA Number19D2141232
Laboratory TypePharmacy
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorJacob W. Boykin
Laboratory Phone(318) 229-4185
Laboratory LocationWalmart Pharmacy #10-37362750 Hwy 28 East, Pineville, LA 71360
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 Walmart Pharmacy 10-0075 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-0075

DMEPOS supplier · Pineville, LAOperated by Wal-Mart Stores East, LP

Does not accept Medicare assignment

Walmart Pharmacy 10-0075 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)20502359
Medicare Participant SinceJuly 1, 2014
Supplier Location3636 Monroe HwyPineville, LA 71360
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 12

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

Pharmacist
3636 MONROE HWY
PINEVILLE, LA 71360
Pharmacist
3636 MONROE HWY
PINEVILLE, LA 71360
Pharmacist
3636 MONROE HWY
PINEVILLE, LA 71360
Pharmacist
3636 MONROE HWY
PINEVILLE, LA 71360
Pharmacist
3636 MONROE HWY
PINEVILLE, LA 71360
Eyewear Supplier
3636 MONROE HWY
PINEVILLE, LA 71360
Nurse Practitioner
3636 MONROE HWY
PINEVILLE, LA 71360
Pharmacist
3636 MONROE HWY
PINEVILLE, LA 71360

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 Pharmacy's NPI number?

The NPI number for Walmart Pharmacy is 1578010583. It was assigned to this organization in the NPPES registry on September 7, 2016.

Where is Walmart Pharmacy located?

Walmart Pharmacy is located at 3636 Monroe Hwy, Pineville, LA 71360. The listed phone number is (318) 640-6900.

What is Walmart Pharmacy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Walmart Pharmacy accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-0075 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 Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2141232) is associated with this NPI, valid through December 10, 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 Walmart Pharmacy was last updated on September 7, 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.