Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

262376 Issued in MN

Legal business name

WALMART INC.

Practice address

9165 Cahill Ave
Inver Grove Heights, MN 55076-3542

Phone

(651) 451-7860

NPI assigned

Jul 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sarah Little

Title

Director of Healthcare Contracting

Phone

(479) 277-2500

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WALMART PHARMACY 10-5089 Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Tax ID family

Ability Network2,173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Wal-Mart Stores East, LP

  • Eyewear Supplier
  • Rochester, MN
  • NPI 1326129511
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Optician
  • Pine City, MN
  • NPI 1174656300
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Monticello, MN
  • NPI 1205919941
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Forest Lake, MN
  • NPI 1255412243
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Shakopee, MN
  • NPI 1285715003
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Alexandria, MN
  • NPI 1295819829
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Austin, MN
  • NPI 1336518869
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Albert Lea, MN
  • NPI 1346321148
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Waseca, MN
  • NPI 1174540553
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eden Prairie, MN
  • NPI 1184641565
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Andover, MN
  • NPI 1194158618
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Fergus Falls, MN
  • NPI 1194742684
  NPD tax ID

Locations

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1265459663",
    "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": "9165 CAHILL AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550763542",
            "telephone_number": "651-451-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-09-19",
        "certification_date": "2023-08-30",
        "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": "MN",
            "license": "262376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674422200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048474",
            "state": null
        }
    ],
    "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 # A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WALMART PHARMACY 10-5089",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALMART PHARMACY 10-5089",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores, Inc.
• Alicia Wales, PT, DPT
• Walgreen Co
• Walgreen Co
• Bradley Wallace
• Sydney Waterman, DDS
• We Care Assisted Living L.L.C.
• Lara Madalyn Weaver, LSW, MSW
• Philip J Weber, MD
• Michelle Lynn Weinzirl, LPN

• All providers in Inver Grove Heights, MN
• Community/Retail Pharmacy in Minnesota

• 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.