WALMART INC.
NPI 1699915124
Pharmacy - Community/Retail Pharmacy in Saratoga Springs, UT

Q: What is Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1699915124. It was assigned to this organization in the NPPES registry on February 24, 2009.

Q: What is Walmart Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since February 24, 2009CLIA 46D2140287 · Waiver

136 W STATE ROAD 73, SARATOGA SPRINGS, UT 84045(801) 766-0732 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Feb 27, 2018, Feb 16, 2017 (3 updates tracked since 2017).

On this page

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1699915124) is a healthcare organization registered as a community/retail pharmacy in Saratoga Springs, Utah and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1699915124

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALMART INC.

Location Address136 W STATE ROAD 73Saratoga Springs, UT 84045-2900

Mailing Address702 Sw 8th St., Mail Stop 0445Bentonville, AR 72716-6209 · (479) 277-1242 · Fax (479) 277-4331

Phone(801) 766-0732

Organization SubpartNo

Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348

Enumeration DateFebruary 24, 2009

Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1699915124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in UT · 7275814-1703

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.

136 W STATE ROAD 73, Saratoga Springs, UT 84045

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Other Identifiers 2

Other2119372Pk

Medicaid1699915124UT

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 46D2140287

Walmart Pharmacy 10-4438 · Saratoga Springs, UT

Active · expires Nov 16, 2027

CLIA Number46D2140287

Laboratory TypePharmacy

Certificate Effective DateNovember 17, 2025

Certificate Expiration DateNovember 16, 2027

Laboratory DirectorDevan A. Larsen

Laboratory Phone(801) 766-0732

Laboratory LocationWalmart Pharmacy 10-4438136 W State Road 73, Saratoga Springs, UT 84045

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 3

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.

69 services69 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.

68 services68 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.

12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-4438 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-4438

DMEPOS supplier · Saratoga Springs, UTOperated by Walmart Inc

⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-4438 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)20441921

Medicare Participant SinceJanuary 1, 2019

Supplier Location136 W State Road 73Saratoga Springs, UT 84045

Phone(801) 766-0732

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 2

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

TAYLOR LANGFORD PHARMD

Pharmacist

136 W STATE ROAD 73
SARATOGA SPRINGS, UT 84045

Utah County (801) 760-0732

DAVID ANDERSEN PHARMD

Pharmacist

136 W STATE ROAD 73
SARATOGA SPRINGS, UT 84045

Utah County (801) 766-4272

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 Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1699915124. It was assigned to this organization in the NPPES registry on February 24, 2009.

Where is Walmart Inc. located?

Walmart Inc. is located at 136 W State Road 73, Saratoga Springs, UT 84045. The listed phone number is (801) 766-0732.

What is Walmart Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walmart Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-4438 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 Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2140287) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walmart Inc. 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 51 other insurers list Walmart Inc. 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 Walmart Inc. was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.