Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054009573 Issued in IL

Legal business name

WALMART INC.

Practice address

2424 W Jefferson St
Joliet, IL 60435-6429

Phone

(815) 744-7601

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 Pharmacy Inc West

  • Community/Retail Pharmacy
  • Mt Prospect, IL
  • NPI 1962429241
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • O Fallon, IL
  • NPI 1881775906
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Plano, IL
  • NPI 1891876397
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Pekin, IL
  • NPI 1902987498
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Normal, IL
  • NPI 1942382825
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Urbana, IL
  • NPI 1972686558
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Springfield, IL
  • NPI 1972689420
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Peoria, IL
  • NPI 1982788535
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Richton Park, IL
  • NPI 1891149332
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Optician
  • Lockport, IL
  • NPI 1922292432
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Robinson, IL
  • NPI 1922483544
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Woodstock, IL
  • NPI 1962567867
  NPD tax ID

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

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Tax ID family

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

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2023.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1942227210",
    "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": "2424 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356429",
            "telephone_number": "815-744-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-08-29",
        "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": "IL",
            "license": "054009573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019790",
            "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": []
}

• Walgreen Co.
• Ann M Walker
• Chaleisa S Walker
• Yisela Walker
• Tomeka Walls, D.T.
• Erika D Walsh, LCSW
• John M Walsh, M.D.
• Debra Elaine Walters, PT
• Marion Waltower
• Rochelle Walwer, LCSW

• All providers in Joliet, IL
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.