Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054011284 Issued in IL

Legal business name

WALMART INC.

Practice address

9450 Joliet Rd
Hodgkins, IL 60525-4156

Phone

(708) 387-2099

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.

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in IL2 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 Pharmacy Inc West

  • Community/Retail Pharmacy
  • Mt Prospect, IL
  • NPI 1962429241
  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
  • Washington, IL
  • NPI 1992886709
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Orland Hills, IL
  • NPI 1992886808
  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
• Wal-Mart Stores, Inc. Dba Wal-Mart

  • Eyewear Supplier
  • Lincoln, IL
  • NPI 1982734539
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2023.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1952328239",
    "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": "9450 JOLIET RD",
            "city": "HODGKINS",
            "state": "IL",
            "postal_code": "605254156",
            "telephone_number": "708-387-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "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": "054011284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2021568",
            "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": []
}

• Sam'S Club Optical
• Sams West Inc
• Lindsaey E Seaton, O.D.
• Samantha Trevino, HIS
• Wal-Mart Stores, Inc
• Aleksandra Wicko

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.