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WALMART PHARMACY 10-6952
NPI 1669820866
Pharmacy in Timberville, VA

Active since May 27, 2016CLIA 49D2114949 · Waiver
375 S MAIN ST, TIMBERVILLE, VA 22853(540) 896-0463 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2023, Nov 11, 2019, Feb 15, 2017 and 3 more (6 updates tracked since 2016).

About Walmart Pharmacy 10-6952 NPPES

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

WALMART PHARMACY 10-6952 (NPI 1669820866) is a healthcare organization registered as a pharmacy in Timberville, Virginia and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1669820866
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address375 S MAIN STTimberville, VA 22853-9522
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-6180 · Fax (479) 277-4331
Phone(540) 896-0463
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateMay 27, 2016
Last NPPES UpdateAugust 23, 20236 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1669820866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in VA · 0201004715
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
375 S MAIN ST, Timberville, VA 22853
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Other Names 1

Doing Business AsWalmart Pharmacy 10-6952

Other Identifiers 2

Medicaid1669820866 NPIVA
Other2160453Pk

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

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 49D2114949

Walmart Pharmacy 10-6952 · Timberville, VA
Active · expires Jun 23, 2028
CLIA Number49D2114949
Laboratory TypePharmacy
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorChancelin Nkengbeza
Laboratory Phone(540) 896-0463
Laboratory LocationWalmart Pharmacy 10-6952375 South Main Street, Timberville, VA 22853
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 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.
216 services213 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.
207 services204 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Other Providers at the Same Location NPPES 4

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

JESSIE GRACE BAKER
Technician/Technologist (Optician)
375 S MAIN ST
TIMBERVILLE, VA 22853
Rockingham County (540) 896-0641
LISA C WHETZEL RPH
Pharmacist
375 S MAIN ST
TIMBERVILLE, VA 22853
Rockingham County (540) 896-0463
MARIEM ABDELRAHIM
Pharmacist
375 S MAIN ST
TIMBERVILLE, VA 22853
Rockingham County (540) 896-0463
JI YEONG KIM PHARMD
Pharmacist
375 S MAIN ST
TIMBERVILLE, VA 22853
Rockingham County (540) 896-0463

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 1669820866. It was assigned to this organization in the NPPES registry on May 27, 2016. The provider is doing business as Walmart Pharmacy 10-6952.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 375 S Main St, Timberville, VA 22853. The listed phone number is (540) 896-0463.

What is Wal-Mart Stores East, LP's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Wal-Mart Stores East, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2114949) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wal-Mart Stores East, LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers 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 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.