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WALMART PHARMACY 10-4616
NPI 1740415835
Pharmacy - Community/Retail Pharmacy in Cleveland, GA

Active since May 19, 2009CLIA 11D2175790 · Waiver
260 DONALD E THURMOND PKWY, CLEVELAND, GA 30528(706) 219-2309 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, Feb 16, 2017, Dec 16, 2016 (3 updates tracked since 2016).

About Walmart Pharmacy 10-4616 NPPES

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

WALMART PHARMACY 10-4616 (NPI 1740415835) is a healthcare organization registered as a community/retail pharmacy in Cleveland, Georgia and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1740415835
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address260 DONALD E THURMOND PKWYCleveland, GA 30528-7185
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238 · Fax (479) 277-4331
Phone(706) 219-2309
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateMay 19, 2009
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1740415835 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 · PHRE009583
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
260 DONALD E THURMOND PKWY, Cleveland, GA 30528
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-4616

Other Identifiers 1

Other2120430Pk

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 11D2175790

Walmart Pharmacy 10-4616 · Cleveland, GA
Active · expires Dec 1, 2027
CLIA Number11D2175790
Laboratory TypePharmacy
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorCorey Bird
Laboratory Phone(706) 219-2309
Laboratory LocationWalmart Pharmacy 10-4616260 Donald E Thurmond Parkway, Cleveland, GA 30528
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.
97 services95 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.
91 services89 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 14

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-4616 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-4616

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

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-4616 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)20500361
Medicare Participant SinceJuly 1, 2014
Supplier Location260 Donald E Thurmond PkwyCleveland, GA 30525
Phone(706) 219-2309
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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.

DR. BLONG LEE PHARM D
Pharmacist
260 DONALD E THURMOND PKWY
CLEVELAND, GA 30528
White County (706) 219-2309
ALEXANDER KANOPKA PHARMD
Pharmacist
260 DONALD E THURMOND PKWY
CLEVELAND, GA 30528
White County (706) 219-2309
SHERRY TRAN
Pharmacist
260 DONALD E THURMOND PKWY
CLEVELAND, GA 30528
White County (706) 219-2309
GRETCHEN CONIBEAR PHARM.D
Pharmacist
260 DONALD E THURMOND PKWY
CLEVELAND, GA 30528
White County (706) 219-2309
YEN NHI ANGELINA TANG
Pharmacist
260 DONALD E THURMOND PKWY
CLEVELAND, GA 30528
White County (706) 865-2129
JENNIE NELSON
Pharmacist
260 DONALD E THURMOND PKWY
CLEVELAND, GA 30528
White County (706) 219-2309

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 1740415835. It was assigned to this organization in the NPPES registry on May 19, 2009. The provider is doing business as Walmart Pharmacy 10-4616.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 260 Donald E Thurmond Pkwy, Cleveland, GA 30528. The listed phone number is (706) 219-2309.

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, Wal-Mart Pharmacy 10-4616 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 11D2175790) is associated with this NPI, valid through December 1, 2027. 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 50 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 29, 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.