WAL-MART PHARMACY 10-2566
NPI 1912924051
Pharmacy - Community/Retail Pharmacy in Charles Town, WV

Active since July 16, 2006CLIA 51D2146056 · Waiver
96 PATRICK HENRY WAY, CHARLES TOWN, WV 25414(304) 728-2190 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 28, 2023, Feb 15, 2017, Dec 18, 2016 (3 updates tracked since 2016).

About Wal-mart Pharmacy 10-2566 NPPES

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

WAL-MART PHARMACY 10-2566 (NPI 1912924051) is a healthcare organization registered as a community/retail pharmacy in Charles Town, West Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1912924051
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address96 PATRICK HENRY WAYCharles Town, WV 25414-4391
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
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 1912924051 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 WV · MP0552188
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
96 PATRICK HENRY WAY, Charles Town, WV 25414

Other Names 1

Doing Business AsWal-mart Pharmacy 10-2566

Other Identifiers 3

Medicaid0227799029WV
Other2111306Pk
Medicaid227799029WV

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

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 153 times for 153 patients

Administration of pneumococcal vaccine

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.

This service was performed 15 times for 15 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 143 times for 143 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

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.

This service was performed 15 times for 15 patients

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
51D2146056
Facility Type
Pharmacy
Certificate Effective Date
March 21, 2026
Certificate Expiration Date
March 20, 2028
Laboratory Director
JORDAN L. ROCKHOLD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wal-mart Pharmacy 10-2566 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.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Eyewear Supplier
96 PATRICK HENRY WAY
CHARLES TOWN, WV 25414
Pharmacist
96 PATRICK HENRY WAY, WALMART PHARMACY
CHARLES TOWN, WV 25414
Pharmacist
96 PATRICK HENRY WAY
CHARLES TOWN, WV 25414
Pharmacist
96 PATRICK HENRY WAY
CHARLES TOWN, WV 25414
Technician/Technologist (Optician)
96 PATRICK HENRY WAY
CHARLES TOWN, WV 25414
Optometrist (Corneal and Contact Management)
96 PATRICK HENRY WAY
CHARLES TOWN, WV 25414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912924051, enumerated as an "organization" on July 16, 2006.

The provider is located at 96 PATRICK HENRY WAY CHARLES TOWN, WV 25414 and the phone number is (304) 728-2190.

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.