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WALMART PHARMACY 10-5667
NPI 1760722680
Pharmacy - Community/Retail Pharmacy in South Milwaukee, WI

Active since March 01, 2013CLIA Certified · 2 labs
222 N CHICAGO AVE, SOUTH MILWAUKEE, WI 53172(414) 501-1122(414) 501-1125 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2023, Feb 15, 2017 (2 updates tracked since 2017).

About Walmart Pharmacy 10-5667 NPPES

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

WALMART PHARMACY 10-5667 (NPI 1760722680) is a healthcare organization registered as a community/retail pharmacy in South Milwaukee, Wisconsin and active in the NPI registry since March 2013. The organization holds 2 active CLIA laboratory certificates and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1760722680
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address222 N CHICAGO AVESouth Milwaukee, WI 53172-1241
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8741 · Fax (479) 277-4331
Phone(414) 501-1122
Fax(414) 501-1125
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateMarch 1, 2013
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1760722680 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 WI · 9188-42
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
222 N CHICAGO AVE, South Milwaukee, WI 53172
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Other Names 1

Doing Business AsWalmart Pharmacy 10-5667

Other Identifiers 2

Other2139280Pk
Medicaid1760722680WI

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 2

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 52D2258180

Walmart Pharmacy 10-5667 · South Milwaukee, WI
Active · expires Apr 17, 2028
CLIA Number52D2258180
Laboratory TypePharmacy
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorMahadi Zraik
Laboratory Phone(262) 670-6595
Laboratory LocationWalmart Pharmacy 10-5667222 N Chicago Ave, South Milwaukee, WI 53172
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2258051

Walmart Pharmacy 10-5668 · Greendale, WI
Active · expires Apr 14, 2028
CLIA Number52D2258051
Laboratory TypePharmacy
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorThien Thanh T. Than
Laboratory Phone(414) 501-1122
Laboratory LocationWalmart Pharmacy 10-56685301 S 76th St, Greendale, WI 53129
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 4

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.
121 services120 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.
116 services115 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
14 services14 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.
14 services14 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.

MANSI PATHAK
Pharmacist
222 N CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 501-1122
SHAWN JOSEPH
Pharmacist
222 N CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 501-1122
JIEMEI ZHANG
Pharmacist
222 N CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 501-1122
WAL-MART STORES EAST LP
Eyewear Supplier
222 N CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 501-1122

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 1760722680. It was assigned to this organization in the NPPES registry on March 1, 2013. The provider is doing business as Walmart Pharmacy 10-5667.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 222 N Chicago Ave, South Milwaukee, WI 53172. The listed phone number is (414) 501-1122.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 30, 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.