Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

147 Issued in IA

Legal business name

WALMART INC.

Practice address

1831 Lake Ave
Storm Lake, IA 50588-7606

Phone

(712) 732-7960

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 3

Other names 1

• WALMART PHARMACY 10-1526 Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

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

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, Inc.

  • Eyewear Supplier
  • Waverly, IA
  • NPI 1295816452
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Davenport, IA
  • NPI 1306927405
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Optician
  • Carroll, IA
  • NPI 1356510317
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Oskaloosa, IA
  • NPI 1376626648
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Indianola, IA
  • NPI 1386725471
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Sioux City, IA
  • NPI 1396826483
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Ottumwa, IA
  • NPI 1467535732
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • West Des Moines, IA
  • NPI 1528149325
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Knoxville, IA
  • NPI 1558444190
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Sioux City, IA
  • NPI 1578644571
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • West Burlington, IA
  • NPI 1588747125
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1619058419
  NPD tax ID

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": "1477570851",
    "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": "1831 LAKE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505887606",
            "telephone_number": "712-732-7960"
        }
    ],
    "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": "IA",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291880",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0291880",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028396",
            "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 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 10-1526",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce J Vanderkooi, MD
• Jorge Luis Vendrell Sr., MD
• Vision Care Associates PC
• Wal-Mart Stores, Inc.
• Walgreen Co
• Brian L Walsh, DC
• Danielle Marie Weber, P.T.
• Barbara B Weiland, PT
• Yonas Tesfahuney Weldgbril
• Julia Rae White, OTR/L

• All providers in Storm Lake, IA
• Community/Retail Pharmacy in Iowa

• 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.