WALMART
NPI 1972923738
Pharmacy - Community/Retail Pharmacy in Myrtle Beach, SC

Q: What is Walmart's NPI number?

The NPI number for Walmart is 1972923738. It was assigned to this organization in the NPPES registry on April 21, 2014.

Q: What is Walmart's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Walmart was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 21, 2014CLIA 42D2174244 · Waiver

125 MARYPORT DRIVE, MYRTLE BEACH, SC 29575(843) 232-0495(843) 232-0497 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Walmart NPPES

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

WALMART (NPI 1972923738) is a healthcare organization registered as a community/retail pharmacy in Myrtle Beach, South Carolina and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Nicole Kathleen Voso, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1972923738

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALMART

Location Address125 MARYPORT DRIVEMyrtle Beach, SC 29575

Mailing Address125 Maryport DriveMyrtle Beach, SC 29575 · (843) 232-0495 · Fax (843) 232-0497

Phone(843) 232-0495

Fax(843) 232-0497

Organization SubpartNo

Authorized OfficialNicole Kathleen VosoPharmacist · (843) 232-0495

Enumeration DateApril 21, 2014

Last NPPES UpdateOctober 14, 2014

✔ NPI 1972923738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in SC · 12598

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.

125 MARYPORT DRIVE, Myrtle Beach, SC 29575

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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 42D2174244

Walmart Pharmacy 10-643 · Myrtle Beach, SC

Active · expires Oct 28, 2027

CLIA Number42D2174244

Laboratory TypePharmacy

Certificate Effective DateOctober 29, 2025

Certificate Expiration DateOctober 28, 2027

Laboratory DirectorKatherine Archer

Laboratory Phone(843) 449-0508

Laboratory LocationWalmart Pharmacy 10-64310820 Kings Rd, Myrtle Beach, SC 29572

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

NICOLE VOSO BLANKS

Pharmacist

125 MARYPORT DRIVE
MYRTLE BEACH, SC 29575

Horry County (843) 232-0495

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 1972923738. It was assigned to this organization in the NPPES registry on April 21, 2014.

Where is Walmart located?

Walmart is located at 125 Maryport Drive, Myrtle Beach, SC 29575. The listed phone number is (843) 232-0495.

What is Walmart's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walmart hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2174244) is associated with this NPI, valid through October 28, 2027. 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 October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.