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WALMART PHARMACY 10-0172
NPI 1952328205
Pharmacy - Community/Retail Pharmacy in Washington, MO

Active since July 16, 2006
1701 A ROY DR, WASHINGTON, MO 63090(636) 239-3710 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2023, Feb 20, 2017 (2 updates tracked since 2017).

About Walmart Pharmacy 10-0172 NPPES

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

WALMART PHARMACY 10-0172 (NPI 1952328205) is a healthcare organization registered as a community/retail pharmacy in Washington, Missouri and active in the NPI registry since July 2006. The organization lists Matthew Mcmullin, Director, Contracting, as its authorized official.

NPPES Registry Identity

NPI1952328205
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address1701 A ROY DRWashington, MO 63090-5007
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(636) 239-3710
Organization SubpartNo
Authorized OfficialMatthew McmullinDirector, Contracting · (479) 371-8711
Enumeration DateJuly 16, 2006
Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
✔ NPI 1952328205 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 MO · 2002009456
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
1701 A ROY DR, Washington, MO 63090
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-0172

Other Identifiers 2

Other2050974Pk
Medicaid602471500MO

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 Arkansas Health & Wellness and more.Insurance ›

Areas of Expertise CMS Part B claims 2

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.
94 services94 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.
87 services87 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-0172 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-0172

DMEPOS supplier · Washington, MOOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-0172 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)20489909
Medicare Participant SinceJuly 1, 2014
Supplier Location1701 A Roy DrWashington, MO 63090
Phone(636) 239-1993
Supplier Specialties
Pharmacy Optician

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
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
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 4

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

MITCHELL GARDNER PHARMD
Pharmacist
1701 A ROY DR
WASHINGTON, MO 63090
Franklin County (636) 239-3710
MIRANDA D. HALL
Pharmacist
1701 A ROY DR
WASHINGTON, MO 63090
Franklin County (636) 239-3710
WILLIAM RALL
Pharmacist
1701 A ROY DR
WASHINGTON, MO 63090
Franklin County (636) 239-3710
DR. MELISSA ELIZABETH LIESMANN PHARM.D.
Pharmacist
1701 A ROY DR
WASHINGTON, MO 63090
Franklin County (636) 239-3710

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 1952328205. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-0172.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 1701 A Roy Dr, Washington, MO 63090. The listed phone number is (636) 239-3710.

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 10-0172 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.

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 Arkansas Health & Wellness and 48 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 December 1, 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.