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WAL-MART PHARMACY 10-3775
NPI 1619061777
Pharmacy - Community/Retail Pharmacy in Atlanta, GA

Active since October 03, 2006
1801 HOWELL MILL RD NW, ATLANTA, GA 30318(404) 352-5229 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 10, 2021, Feb 16, 2017, Dec 18, 2016 (3 updates tracked since 2016).

About Wal-mart Pharmacy 10-3775 NPPES

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

WAL-MART PHARMACY 10-3775 (NPI 1619061777) is a healthcare organization registered as a community/retail pharmacy in Atlanta, Georgia and active in the NPI registry since October 2006. The organization lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1619061777
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address1801 HOWELL MILL RD NWAtlanta, GA 30318-0911
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(404) 352-5229
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 10, 20213 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1619061777 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 GA · PHRE009080
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 ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1801 HOWELL MILL RD NW, Atlanta, GA 30318
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Other Names 1

Doing Business AsWal-mart Pharmacy 10-3775

Other Identifiers 2

Medicaid000350204BGA
Other2016330Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wal-mart Pharmacy 10-3775 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wal-Mart Pharmacy 10-3775, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Monica Rhymes, FNP-C
Nurse Practitioner
NPI 1730438409
655 7TH ST BLDG 700700-A 78 MDG/ SGOPF
Warner Robins, GA 31098
(478) 222-1190
✔ PECOS96 mi
Jennifer Woods, FNP
Nurse Practitioner
NPI 1710201983
208 PRINCE ST
Sevierville, TN 37862
(657) 747-4818
✔ PECOS150 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1619061777. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Wal-Mart Pharmacy 10-3775.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 1801 Howell Mill Rd NW, Atlanta, GA 30318. The listed phone number is (404) 352-5229.

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.

Is Wal-Mart Stores East LP enrolled in Medicare?

Yes. Wal-Mart Stores East LP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wal-Mart Stores East LP?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wal-Mart Stores East LP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wal-Mart Stores East LP accept?

Health plans from Medica and Moda Health Plan, Inc. 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 August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.