1. Home
  2. Directory
  3. Wisconsin
  4. Marinette
  5. Pharmacy
  6. NPI Profile

WAL-MART PHARMACY 10-2545
NPI 1710904883
Pharmacy - Community/Retail Pharmacy in Marinette, WI

Active since July 16, 2006CLIA 52D2261811 · Waiver
2900 ROOSEVELT RD, MARINETTE, WI 54143(715) 735-5593(715) 735-5593 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Feb 15, 2017, Jun 27, 2016 (3 updates tracked since 2016).

About Wal-mart Pharmacy 10-2545 NPPES

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

WAL-MART PHARMACY 10-2545 (NPI 1710904883) is a healthcare organization registered as a community/retail pharmacy in Marinette, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1710904883
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address2900 ROOSEVELT RDMarinette, WI 54143-4299
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(715) 735-5593
Fax(715) 735-5593
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1710904883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 9089-42
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
Also ListedPharmacyTaxonomy 333600000X
2900 ROOSEVELT RD, Marinette, WI 54143
Open in Google Maps ↗

Other Names 1

Doing Business AsWal-mart Pharmacy 10-2545

Other Identifiers 2

Other2108749Pk
Medicaid33228900WI

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 52D2261811

Walmart Pharmacy 10-2658 · West Bend, WI
Active · expires Jun 5, 2028
CLIA Number52D2261811
Laboratory TypePharmacy
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorBenjamin Mattila
Laboratory Phone(715) 735-5593
Laboratory LocationWalmart Pharmacy 10-26581515 W Paradise Dr, West Bend, WI 53095
CLIA data matches this NPI record on: 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.
144 services140 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.
139 services135 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.
11 services11 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.

WAL-MART STORES EAST LP
Eyewear Supplier
2900 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5117
HANNAH TURNER
Pharmacist
2900 ROOSEVELT RD, PHARMACY
MARINETTE, WI 54143
Marinette County (715) 735-5593
QUENTIN GARRETT LUECK PHARMD
Pharmacist
2900 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5593
RAYMOND ARTHUR SMITH PHARMD, PH.D
Pharmacist
2900 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5593

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 1710904883. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Wal-Mart Pharmacy 10-2545.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 2900 Roosevelt Rd, Marinette, WI 54143. The listed phone number is (715) 735-5593.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2261811) is associated with this NPI, valid through June 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 Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 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 28, 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.