WALMART PHARMACY 10-0159 - NPI 1609895689

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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About Walmart Pharmacy 10-0159 NPPES

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

WALMART PHARMACY 10-0159 (NPI 1609895689) is a healthcare organization registered as a community/retail pharmacy in Columbia, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1609895689

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address415 CONLEY RDColumbia, MO 65201-6468

Mailing Address702 Sw 8th StBentonville, AR 72716-0445

Phone(573) 499-1933

Organization SubpartNo

Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500

Enumeration DateJuly 19, 2006

Last NPPES UpdateAugust 27, 20232 updates tracked since enumeration

NPPES CertifiedAugust 27, 2023

✔ NPI 1609895689 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 MO · 2002009259

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

415 CONLEY RD, Columbia, MO 65201

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Other Names 1

Doing Business AsWalmart Pharmacy 10-0159

Other Identifiers 2

Other2047170Pk

Medicaid607794005MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 26D2125344

Walmart Stores East LP Dba Walmart Pharmacy 10-0159 · Columbia, MO

Active · expires Feb 5, 2027

CLIA Number26D2125344

Laboratory TypePharmacy

Certificate Effective DateFebruary 6, 2025

Certificate Expiration DateFebruary 5, 2027

Laboratory DirectorMark King

Laboratory Phone(573) 499-1993

Laboratory LocationWalmart Stores East LP Dba Walmart Pharmacy 10-0159415 Conley Rd, Columbia, MO 65201

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2129273

Walmart Stores East, LP Dba Walmart Pharmacy 10-0451 · Columbia, MO

Active · expires Apr 17, 2027

CLIA Number26D2129273

Laboratory TypePharmacy

Certificate Effective DateApril 18, 2025

Certificate Expiration DateApril 17, 2027

Laboratory DirectorNoah Alexander

Laboratory Phone(573) 442-9989

Laboratory LocationWalmart Stores East, LP Dba Walmart Pharmacy 10-04511201 Grindstone Pkwy, Columbia, MO 65201

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.

107 services104 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.

104 services101 patients

Other Providers at the Same Location NPPES 5

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

MARK A. MANARY, O.D., LLC

Optometrist