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WAL-MART PHARMACY 10-3008
NPI 1689918468
Pharmacy - Community/Retail Pharmacy in Atlanta, GA

Active since November 19, 2012CLIA 11D2300233 · Waiver
835 MARTIN LUTHER KING JR DR NW, ATLANTA, GA 30314(404) 460-2706 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Wal-mart Pharmacy 10-3008 NPPES

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

WAL-MART PHARMACY 10-3008 (NPI 1689918468) is a healthcare organization registered as a community/retail pharmacy in Atlanta, Georgia and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1689918468
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address835 MARTIN LUTHER KING JR DR NWAtlanta, GA 30314-3644
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-0709 · Fax (479) 277-4331
Phone(404) 460-2706
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateNovember 19, 2012
Last NPPES UpdateAugust 10, 20213 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1689918468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE009887
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 ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
835 MARTIN LUTHER KING JR DR NW, Atlanta, GA 30314
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Other Names 1

Doing Business AsWal-mart Pharmacy 10-3008

Other Identifiers 2

Medicaid003132279AGA
Other2138049Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..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 11D2300233

Walmart Pharmacy 10-7601 · Atlanta, GA
Active · expires Mar 5, 2028
CLIA Number11D2300233
Laboratory TypePharmacy
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorMargaret Tabe
Laboratory Phone(404) 460-2706
Laboratory LocationWalmart Pharmacy 10-7601835 Martin Luther King Jr Dr NW, Atlanta, GA 30314
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-3008 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-3008

DMEPOS supplier · Atlanta, GAOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-3008 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)20502839
Medicare Participant SinceJuly 1, 2014
Supplier Location835 Martin Luther King Jr Dr NWAtlanta, GA 30314
Phone(404) 460-2706
Supplier Specialties
Pharmacy

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 6

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

WAL-MART STORES EAST , LP
Pharmacy (Community/Retail Pharmacy)
835 MARTIN LUTHER KING JR DR NW
ATLANTA, GA 30314
Fulton County (404) 460-2706
DECOLA JOHNSON PHARM.D.
Pharmacist
835 MARTIN LUTHER KING JR DR NW
ATLANTA, GA 30314
Fulton County (404) 460-2706
DR. QUINTIN BUFORD JR. PHARMD
Pharmacist
835 MARTIN LUTHER KING JR DR NW
ATLANTA, GA 30314
Fulton County (404) 460-2706
CHRISTY NICOLE HUNT
Pharmacist
835 MARTIN LUTHER KING JR DR NW
ATLANTA, GA 30314
Fulton County (404) 460-2706
MR. ETHAN YOUNG PHARMD
Pharmacist
835 MARTIN LUTHER KING JR DR NW
ATLANTA, GA 30314
Fulton County (404) 460-2706
DR. ESHA PATEL PHARMD
Pharmacist
835 MARTIN LUTHER KING JR DR NW
ATLANTA, GA 30314
Fulton County (404) 460-2706

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 1689918468. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Wal-Mart Pharmacy 10-3008.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 835 Martin Luther King Jr Dr NW, Atlanta, GA 30314. The listed phone number is (404) 460-2706.

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.

Does Wal-Mart Stores East LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-3008 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 Wal-Mart Stores East LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2300233) is associated with this NPI, valid through March 5, 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 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.