WALMART INC.
NPI 1992722375
Pharmacy - Community/Retail Pharmacy in Cloquet, MN

Active since July 16, 2006CLIA 24D2154317 · Waiver
1308 HIGHWAY 33 S, CLOQUET, MN 55720(218) 878-0676 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 19, 2025, Aug 23, 2023, Jul 19, 2018 and 3 more (6 updates tracked since 2015).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1992722375), doing business as Walmart Pharmacy 10-1929, is a healthcare organization registered as a community/retail pharmacy in Cloquet, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1992722375
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address1308 HIGHWAY 33 SCloquet, MN 55720-2653
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 UpdateSeptember 19, 20256 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1992722375 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 MN · 260979
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
1308 HIGHWAY 33 S, Cloquet, MN 55720

Other Names 1

Doing Business AsWalmart Pharmacy 10-1929

Other Identifiers 2

Medicaid120062300MN
Other2046939Pk

Accepted Insurance

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 24D2154317

Walmart Pharmacy 10-1929 · Cloquet, MN
Active · expires Sep 10, 2026
CLIA Number24D2154317
Laboratory TypePharmacy
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorKelly Warnen
Laboratory Phone(218) 878-0676
Laboratory LocationWalmart Pharmacy 10-19291308 Highway 33 S, Cloquet, MN 55720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
275 services274 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.
253 services253 patients
Administration of pneumococcal vaccine G0009
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.
17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-1929 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-1929

DMEPOS supplier · Cloquet, MNOperated by Walmart Inc

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-1929 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)20448083
Medicare Participant SinceJanuary 1, 2019
Supplier Location1308 Highway 33 SCloquet, MN 55720
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 5

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

Optometrist
1308 HIGHWAY 33 S
CLOQUET, MN 55720
Pharmacist
1308 HIGHWAY 33 S
CLOQUET, MN 55720
Pharmacist
1308 HIGHWAY 33 S
CLOQUET, MN 55720
Pharmacist
1308 HIGHWAY 33 S
CLOQUET, MN 55720
Eyewear Supplier
1308 HIGHWAY 33 S
CLOQUET, MN 55720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992722375, enumerated as an "organization" on July 16, 2006.

The provider is located at 1308 HIGHWAY 33 S CLOQUET, MN 55720 and the phone number is (218) 878-0676.

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.