Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-5839
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
3615 CRATER LAKE HWY, MEDFORD, OR 97504-9259
(541) 227-5403
(541) 227-5397
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8741
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002811-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140891
PK
—
Enumeration date
06/20/2013
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us