Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-1415
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2200 17TH ST, SPIRIT LAKE, IA 51360-1007
(712) 336-1756
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
47
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287656
—
IA
01
—
2028390
PK
—
05
—
287656
—
IA
05
—
362677000
—
MN
Enumeration date
07/17/2006
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