Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00055876 Issued in WA

Legal business name

WALMART INC.

Practice address

15727 E Broadway Ave
Spokane Valley, WA 99037-9544

Phone

(509) 922-9047

NPI assigned

Jul 16, 2006

Organization subpart

No

Name

Sarah Little

Title

Director of Healthcare Contracting

Phone

(479) 277-2500

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 WA3 enrollments

Enrollment records 3

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
  • Bonney Lake, WA
  • NPI 1649351685
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Chehalis, WA
  • NPI 1659468254
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Lynnwood, WA
  • NPI 1700976941
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Ephrata, WA
  • NPI 1720160682
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Port Angeles, WA
  • NPI 1720168636
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Sunnyside, WA
  • NPI 1740377340
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Bremerton, WA
  • NPI 1750463691
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Auburn, WA
  • NPI 1750471736
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Spokane, WA
  • NPI 1811078405
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Shelton, WA
  • NPI 1811083108
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Aberdeen, WA
  • NPI 1710995964
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Yelm, WA
  • NPI 1740486539
  NPD tax ID

Locations

• WALMART PHARMACY 10-2539 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": "1720005846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH STREET",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15727 E BROADWAY AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379544",
            "telephone_number": "509-922-9047"
        }
    ],
    "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": "WA",
            "license": "CF00055876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6019822",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110407",
            "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": "1040 Green Acres Rd",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974086501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WALMART PHARMACY 10-2539",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca M Wall
• Kari Wallace, ARNP
• Kylie Noelle Wallace
• Jill Michelle Walling, LMFT
• Walmart Inc.
• Breanna Walter
• Kathleen Marie Walter, REGISTERED NURSE
• Laveena Lynne Walters
• Tamera Walters
• Madison Walther

• All providers in Spokane Valley, WA
• Community/Retail Pharmacy in Washington

• 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.