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	CF00056241	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2110509	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457378572
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	:	1250 SW ERIE ST
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-3103
Country	:	US
Telephone Number	:	360-279-0671
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

1104124049 — HOANG TRAN R.PH.
Practice Location Address:

1250 SW ERIE ST
OAK HARBOR, WA
98277-3103

Practice Phone: 360-279-0671
Practice Fax:

1952719833 — MARJORIE BLAINE PHARMD
Practice Location Address:

1250 SW ERIE ST
OAK HARBOR, WA
98277-3103

Practice Phone: 360-279-0671
Practice Fax: 360-279-2421

1285178723 — ERIC MARQUIS
Practice Location Address:

1250 SW ERIE ST
OAK HARBOR, WA
98277-3103

Practice Phone: 360-279-0671
Practice Fax:

1295728244 — DR. TERRY ELIZABETH DOUGLASS ARNP, PHD
Practice Location Address:

6863 EAGLE HARBOR DR NE
BAINBRIDGE ISLAND, WA
98110-3103

Practice Phone: 260-660-6199
Practice Fax: 206-238-9777

1356378921 — THERESSE ELIZABETH GIBBS DOUGLASS
Practice Location Address:

6863 EAGLE HARBOR DR NE
BAINBRIDGE ISLAND, WA
98110-3103

Practice Phone: 206-780-3401
Practice Fax: 206-238-9777

1740399021 — THRIFTY PAYLESS INC
Practice Location Address:

951 NORTH HARBOR BOULEVARD , NORTH HILLS PLAZA
LA HABRA, CA
90631-3103

Practice Phone: 562-697-4718
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.