WALMART
NPI 1871989087
Clinic/Center - Community Health in Tempe, AZ

Active since April 14, 2015CLIA 03D2117170 · Waiver
800 E SOUTHERN AVE, TEMPE, AZ 85282(480) 966-2791 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walmart NPPES

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

WALMART (NPI 1871989087) is a healthcare organization registered as a community health in Tempe, Arizona and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through August 9, 2026 and lists Scott Michael Derner, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1871989087
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameWALMART
Location Address800 E SOUTHERN AVETempe, AZ 85282-5225
Mailing Address4215 N Drinkwater Blvd, Apt. 305Scottsdale, AZ 85251-3930 · (941) 330-6147
Organization SubpartNo
Authorized OfficialScott Michael DernerPharmacist · (941) 330-6147
Enumeration DateApril 14, 2015
NPI 1871989087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License Licensed in AZ · S021138
800 E SOUTHERN AVE, Tempe, AZ 85282

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 03D2117170

Walmart Pharmacy #5768 · Tempe, AZ
Active · expires Aug 9, 2026
CLIA Number03D2117170
Laboratory TypePharmacy
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorMohammed Habib
Laboratory Phone(480) 966-2791
Laboratory LocationWalmart Pharmacy #5768800 E Southern Ave, Tempe, AZ 85282
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Pharmacist
800 E SOUTHERN AVE
TEMPE, AZ 85282
Pharmacist
800 E SOUTHERN AVE
TEMPE, AZ 85282
Pharmacist
800 E SOUTHERN AVE
TEMPE, AZ 85282
Pharmacist
800 E SOUTHERN AVE
TEMPE, AZ 85282
Pharmacist
800 E SOUTHERN AVE
TEMPE, AZ 85282
Pharmacist
800 E SOUTHERN AVE
TEMPE, AZ 85282
Pharmacy (Community/Retail Pharmacy)
800 E SOUTHERN AVE
TEMPE, AZ 85282

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's NPI number?

The NPI number for Walmart is 1871989087. It was assigned to this organization in the NPPES registry on April 14, 2015.

Where is Walmart located?

Walmart is located at 800 E Southern Ave, Tempe, AZ 85282. The listed phone number is (480) 966-2791.

What is Walmart's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Walmart hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2117170) is associated with this NPI, valid through August 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walmart was last updated on April 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.