Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1124 Issued in IA

Legal business name

WALMART INC.

Practice address

2715 S 25TH St
Clinton, IA 52732-7219

Phone

(563) 243-0600

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 10-2889 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
  • Marshalltown, IA
  • NPI 1649353913
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Storm Lake, IA
  • NPI 1659452753
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Fort Dodge, IA
  • NPI 1689755571
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Coralville, IA
  • NPI 1700967536
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Windsor Heights, IA
  • NPI 1730260837
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Spirit Lake, IA
  • NPI 1730262007
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Spencer, IA
  • NPI 1740361740
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Decorah, IA
  • NPI 1750462800
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Waterloo, IA
  • NPI 1801977608
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Optician
  • Marion, IA
  • NPI 1811078009
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Mt Pleasant, IA
  • NPI 1811078637
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Boone, IA
  • NPI 1659398030
  NPD tax ID

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": "1730106121",
    "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": "2715 S 25TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327219",
            "telephone_number": "563-243-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-09-19",
        "certification_date": "2023-08-29",
        "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": "1124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217901",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029980",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217901",
            "state": "IA"
        }
    ],
    "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 10-2889",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores, Inc.
• Walgreen Co
• Walgreen Co
• Matthew Robert Walker
• Jennifer Wall
• Jennifer Ellen Warren, RN BSN
• Darcy Weaks
• Adele Lee Weaver
• Angelena Wells, MS
• Wellspring Home LLC

• All providers in Clinton, 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.