WALMART INC.
NPI 1609297845
Pharmacy - Community/Retail Pharmacy in Beaverton, OR

Active since December 13, 2013CLIA 38D2332470 · Waiver
9055 SW MURRAY BLVD, BEAVERTON, OR 97008(503) 207-2554(503) 207-2548 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 19, 2025, Aug 30, 2023, Jul 19, 2018 and 4 more (7 updates tracked since 2015).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1609297845), doing business as Walmart Pharmacy 10-3050, is a healthcare organization registered as a community/retail pharmacy in Beaverton, Oregon and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1609297845
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address9055 SW MURRAY BLVDBeaverton, OR 97008-7434
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (503) 207-2554 · Fax (503) 207-2548
Fax(503) 207-2548
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateDecember 13, 2013
Last NPPES UpdateSeptember 19, 20257 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1609297845 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 OR · RP-0002869-CS
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
9055 SW MURRAY BLVD, Beaverton, OR 97008

Other Names 1

Doing Business AsWalmart Pharmacy 10-3050

Other Identifiers 2

Other2143477Pk
Medicaid2038070WA

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 38D2332470

Walmart Pharmacy 10-3050 · Beaverton, OR
Active · expires Oct 19, 2027
CLIA Number38D2332470
Laboratory TypePharmacy
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorSimon Chung
Laboratory Phone(503) 207-2554
Laboratory LocationWalmart Pharmacy 10-30509055 SW Murray Blvd, Beaverton, OR 97008
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
162 services162 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.
154 services154 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20444075
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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.

Pharmacist
9055 SW MURRAY BLVD
BEAVERTON, OR 97008
Pharmacist
9055 SW MURRAY BLVD
BEAVERTON, OR 97008
Pharmacist
9055 SW MURRAY BLVD
BEAVERTON, OR 97008
Pharmacist
9055 SW MURRAY BLVD
BEAVERTON, OR 97008
Pharmacist
9055 SW MURRAY BLVD
BEAVERTON, OR 97008
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9055 SW MURRAY BLVD, WALMART PHARMACY #3050
BEAVERTON, OR 97008
Pharmacist
9055 SW MURRAY BLVD
BEAVERTON, OR 97008
Pharmacist
9055 SW MURRAY BLVD
BEAVERTON, OR 97008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609297845, enumerated as an "organization" on December 13, 2013.

The provider is located at 9055 SW MURRAY BLVD BEAVERTON, OR 97008 and the phone number is (503) 207-2554.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.