DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WALMART INC.

MEDICARE: WALMART INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336S0011XSpecialty Pharmacy
43336C0003XCommunity/Retail PharmacyPH01814NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22051016OTHERPK

General Provider Information

NPI Number : 1346267457
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALMART INC.
Provider Business Mailing Address
First Line : 702 SW 8TH STREET
Second Line :
City : BENTONVILLE
State : AR
Zip : 72716-0445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5200 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1722
Country : US
Telephone Number : 702-367-1003
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF HEALTHCARE CONTRACTING
Name : SARAH LITTLE
Credential :
Telephone Number : 479-277-2500
Provider Enumeration Date : 07/16/2006
Last Update Date : 09/19/2025

Similar Medicare Providers

1184090193 — DR. MARK CHRISTOPHER TRAUPMANN PHARM.D.
Practice Location Address:
5200 S FORT APACHE RD
LAS VEGAS, NV
89148-1722
Practice Phone: 702-367-1003
Practice Fax:
1467533406 — WAL-MART STORES, INC
Practice Location Address:
5200 S FORT APACHE RD
LAS VEGAS, NV
89148-1722
Practice Phone: 702-367-4001
Practice Fax:
1245316629 — DR. GLENN K. ROTER O.D.
Practice Location Address:
5200 S FORT APACHE RD
LAS VEGAS, NV
89148-1722
Practice Phone: 702-368-0092
Practice Fax: 702-368-0097
1053612424 — GLENN K. ROTER, OD, A PROFESSIONAL CORPORATION
Practice Location Address:
5200 S FORT APACHE RD
LAS VEGAS, NV
89148-1722
Practice Phone: 702-368-0092
Practice Fax: 702-368-0097
1649870031 — MR. WILLIAM HERGENROEDER JR.
Practice Location Address:
5200 S FORT APACHE RD
LAS VEGAS, NV
89148-1722
Practice Phone: 702-367-1003
Practice Fax:
1609476688 — HERMON HABTOM BARIAGABR PHARM D.
Practice Location Address:
5200 S FORT APACHE RD
LAS VEGAS, NV
89148-1722
Practice Phone: 702-367-1003
Practice Fax:

Directions to “WALMART INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.