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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	250000010	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2003326	OTHER	PK

General Provider Information

NPI Number	:	1447277728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALMART INC.

Provider Business Mailing Address
First Line	:	702 SW 8TH ST
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72716-0445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5990 DAHLIA ST
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-3708
Country	:	US
Telephone Number	:	303-287-0909
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

1265517841 — WALMART INC.
Practice Location Address:

5990 DAHLIA ST
COMMERCE CITY, CO
80022-3708

Practice Phone: 303-287-0600
Practice Fax:

1467599977 — DIEGO ALEXANDER POSADA O.D.
Practice Location Address:

5990 DAHLIA ST , SUITE A
COMMERCE CITY, CO
80022-3708

Practice Phone: 303-287-2777
Practice Fax:

1003272121 — CLEAR VISION ASSOCIATES, P.C.
Practice Location Address:

5990 DAHLIA ST
COMMERCE CITY, CO
80022-3708

Practice Phone: 405-255-6673
Practice Fax:

1558926790 — I JOELAH LANDMAN
Practice Location Address:

5990 DAHLIA ST
COMMERCE CITY, CO
80022-3708

Practice Phone: 303-287-0909
Practice Fax: 303-287-2727

1194551325 — KWAKU OWUSU MENSA PHARM
Practice Location Address:

5990 DAHLIA ST
COMMERCE CITY, CO
80022-3708

Practice Phone: 303-287-0909
Practice Fax:

1457193997 — LILLIAN UBEZONU LCSW
Practice Location Address:

3708 MCHARD RD STE B1026
MISSOURI CITY, TX
77489-5411

Practice Phone: 832-216-9123
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.