Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-4176
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
21320 SW LANGER FARMS PKWY, SHERWOOD, OR 97140-9105
(503) 825-4053
(503) 825-4054
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002948-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145739
PK
—
05
—
500673725
—
OR
Enumeration date
05/07/2014
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