WALMART PHARMACY 10-0046
NPI 1881611200
Pharmacy - Community/Retail Pharmacy in Bolivar, MO
About Walmart Pharmacy 10-0046 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALMART PHARMACY 10-0046 (NPI 1881611200) is a healthcare organization registered as a community/retail pharmacy in Bolivar, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Matthew Mcmullin, Director, Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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.
Other Names 1
Other Identifiers 2
Accepted Insurance
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Influenza vaccine split virus, preservative free
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.
This service was performed 101 times for 101 patientsThe 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.
This service was performed 94 times for 94 patientsMedical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20488259
- Accepts Medicare Assignment
- NO
- Specialities List
- Pharmacy, Optician.
- Competitive Bidding
- NO
Supplies List
- 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
- Infusion Drugs -
- 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
- Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Enteral Nutrients - Enteral formula
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2144263
- Facility Type
- Pharmacy
- Certificate Effective Date
- February 13, 2026
- Certificate Expiration Date
- February 12, 2028
- Laboratory Director
- DYLAN DETLOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walmart Pharmacy 10-0046 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for WALMART PHARMACY 10-0046
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
BOLIRAR, MO 65613
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881611200, enumerated as an "organization" on July 16, 2006.
The provider is located at 2451 S SPRINGFIELD AVE BOLIVAR, MO 65613 and the phone number is (417) 326-5225.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.
