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WALMART INC.
NPI 1710163142
Pharmacy - Community/Retail Pharmacy in Tucson, AZ

Active since January 16, 2008CLIA 03D2133112 · Waiver
2175 W RUTHRAUFF RD, TUCSON, AZ 85705(520) 292-2549(520) 292-2551 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2018, Feb 27, 2018, Feb 16, 2017 and 1 more (4 updates tracked since 2016).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1710163142), doing business as Walmart Pharmacy 10-4473, is a healthcare organization registered as a community/retail pharmacy in Tucson, Arizona and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1710163142
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address2175 W RUTHRAUFF RDTucson, AZ 85705-1241
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 258-6724
Phone(520) 292-2549
Fax(520) 292-2551
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJanuary 16, 2008
Last NPPES UpdateJuly 14, 20254 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1710163142 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 · Y004971
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
2175 W RUTHRAUFF RD, Tucson, AZ 85705
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-4473

Other Identifiers 1

Other1992675Pk

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 03D2133112

Walmart Pharmacy 4473 · Tucson, AZ
Active · expires Jul 5, 2027
CLIA Number03D2133112
Laboratory TypePharmacy
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorShawn Morse
Laboratory Phone(520) 292-2549
Laboratory LocationWalmart Pharmacy 44732175 W Ruthrauff Rd, Tucson, AZ 85705
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 2

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.
55 services54 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.
52 services51 patients

Other Providers at the Same Location NPPES

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

TINA WANG
Pharmacist
2175 W RUTHRAUFF RD
TUCSON, AZ 85705
Pima County (520) 292-2549

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 1710163142. It was assigned to this organization in the NPPES registry on January 16, 2008. The provider is doing business as Walmart Pharmacy 10-4473.

Where is Walmart Inc. located?

Walmart Inc. is located at 2175 W Ruthrauff Rd, Tucson, AZ 85705. The listed phone number is (520) 292-2549.

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 03D2133112) is associated with this NPI, valid through July 5, 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 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.