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WALMART INC.
NPI 1700941754
Pharmacy - Community/Retail Pharmacy in Mesa, AZ

Active since December 27, 2006CLIA 03D2157632 · Waiver
240 W BASELINE RD, MESA, AZ 85210(480) 668-9512 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 8, 2025, Jul 19, 2018, Feb 27, 2018 and 2 more (5 updates tracked since 2016).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1700941754), doing business as Walmart Pharmacy 10-3799, is a healthcare organization registered as a community/retail pharmacy in Mesa, Arizona and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2026 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1700941754
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address240 W BASELINE RDMesa, AZ 85210-6107
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1242
Phone(480) 668-9512
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 20255 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1700941754 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 AZ · Y004680
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
240 W BASELINE RD, Mesa, AZ 85210
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-3799

Other Identifiers 2

Medicaid183560AZ
Other1992507Pk

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 03D2157632

Walmart Pharmacy 10-3799 · Mesa, AZ
Active · expires Nov 7, 2026
CLIA Number03D2157632
Laboratory TypePharmacy
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorTyler Barton
Laboratory Phone(480) 668-9512
Laboratory LocationWalmart Pharmacy 10-3799240 W Baseline Rd, Mesa, AZ 85210
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.
52 services52 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.
49 services49 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

Other Providers at the Same Location NPPES 8

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

WAL-MART STORES, INC.
Eyewear Supplier
240 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 668-9518
ANTONY KIBET PHARMD
Pharmacist
240 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 668-9512
JONATHAN HERNANDEZ LDO
Technician/Technologist (Optician)
240 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 668-9518
DR. TAN NHUT TIEN PHARMACIST
Pharmacist
240 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 678-9962
PRANJALI MALGE RPH
Pharmacist
240 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 668-9512
NICOLE A FLYNN PHARMD
Pharmacist
240 W BASELINE RD, PHARMACY 3799
MESA, AZ 85210
Maricopa County (480) 668-9512
DR. FRANZ JUNGBLUT PHAM.D.
Pharmacist
240 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 668-9512
BARRY S HERNDON OD PLLC
Optometrist
240 W BASELINE RD
MESA, AZ 85210
Maricopa County (317) 509-2225

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 1700941754. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Walmart Pharmacy 10-3799.

Where is Walmart Inc. located?

Walmart Inc. is located at 240 W Baseline Rd, Mesa, AZ 85210. The listed phone number is (480) 668-9512.

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. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2157632) is associated with this NPI, valid through November 7, 2026. 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 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.