Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-10124 Issued in KS

Legal business name

WALMART INC.

Practice address

2200 N State St
Iola, KS 66749-1636

Phone

(620) 365-7637

NPI assigned

Jul 16, 2006

Organization subpart

No

Name

Sarah Little

Title

Director of Healthcare Contracting

Phone

(479) 277-2500

Organizations that report the same tax identification number in the National Provider Directory.

• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Salina, KS
  • NPI 1104906866
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Hays, KS
  • NPI 1104907179
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Wichita, KS
  • NPI 1104908151
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Gardner, KS
  • NPI 1104926997
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Optician
  • Wichita, KS
  • NPI 1114708385
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Bonner Springs, KS
  • NPI 1144308180
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Parsons, KS
  • NPI 1154402527
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Ottawa, KS
  • NPI 1164502316
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • McPherson, KS
  • NPI 1225118854
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Wichita, KS
  • NPI 1225118938
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Olathe, KS
  • NPI 1265514863
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Wichita, KS
  • NPI 1285719872
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anh Thu Thi Le

  • Pharmacist
  • Iola, KS
  • NPI 1790562676
  NPD (past)
• Lisa Whitney, RPH

  • Pharmacist
  • Iola, KS
  • NPI 1093188450
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Tax ID family

Ability Network (2,173 organizations share this tax ID)

Locations

• WALMART PHARMACY 10-1187 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2025.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1194742593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N STATE ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667491636",
            "telephone_number": "620-365-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-09-19",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTHCARE CONTRACTING",
        "authorized_official_telephone_number": "479-277-2500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-10124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6017359701",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032541",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100438990A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WALMART PHARMACY 10-1187",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALMART PHARMACY 10-1187",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katlyn Vanatta, LMSW
• Shane Venteicher, ATC, LAT
• Vernon G. Lee, D.D.S., PA
• Ashlin M Wait
• Shane Patrick Walden, PHARMD
• Earl Thomas Walter, DO
• Charles Joseph Wanker, MD
• WB Real Estate of Iola, LLC
• Elizabeth R Wehlage, RDH
• Travis Lynn West, PA-C

• All providers in Iola, KS
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.