Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

260979 Issued in MN

Legal business name

WALMART INC.

Practice address

1308 Highway 33 S
Cloquet, MN 55720-2653

Phone

(218) 878-0676

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 Stores, Inc.

  • Eyewear Supplier
  • Elk River, MN
  • NPI 1881776334
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Maple Grove, MN
  • NPI 1902988454
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Cottage Grove, MN
  • NPI 1942622089
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Winona, MN
  • NPI 1952484180
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Eden Prairie, MN
  • NPI 1972686400
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Cloquet, MN
  • NPI 1982785481
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Little Falls, MN
  • NPI 1992901821
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Optician
  • Fairmont, MN
  • NPI 1992902449
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Marshall, MN
  • NPI 1891712261
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Maple Grove, MN
  • NPI 1891712287
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • West St Paul, MN
  • NPI 1891712295
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1902961048
  NPD tax ID

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 MN2 enrollments

Enrollment records 2

Tax ID family

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

• WALMART PHARMACY 10-1929 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": "1992722375",
    "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": "1308 HIGHWAY 33 S",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202653",
            "telephone_number": "218-878-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-09-19",
        "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": "MN",
            "license": "260979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120062300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046939",
            "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 10-1929",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joey Vork, RN, CNP
• Amy Vredenburgh, M.A., L.M.F.T.
• Jamie Wade, DDS
• Wal-Mart Stores, Inc.
• Walgreen Co
• Kelly Marie Warren, PHARMD
• Nicole Waters, MA, CCC-SLP
• Timothy Robert Weber, FNP
• Roxie Lynn Wefel, NP
• Eric Charles Weigel, DNP

• All providers in Cloquet, MN
• Community/Retail Pharmacy in Minnesota

• 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.