WAL-MART PHARMACY 10-2819 – Community/Retail Pharmacy, NPI 1760409130

WAL-MART PHARMACY 10-2819 is a healthcare provider. based in Bentonville, Arkansas. specializing in Community/Retail Pharmacy. The organization holds a License No. 60005495A (IN). The NPI Number for WAL-MART PHARMACY 10-2819 is 1760409130

Main info

Organization
Name
WAL-MART PHARMACY 10-2819
NPI
1760409130
Phone
Not provided
Address
702 SW 8TH ST
Authorized Official
SARAH LITTLE DIRECTOR OF HEALTHCARE CONTRACTING
Enumeration Date
16 July 2006
Last Update Date
23 August 2023

Contacts

Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness90
Years active:19State licenses:1Updated within 12 months

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Provider Addresses for WAL-MART PHARMACY 10-2819

  • Walmart Home Office Main Entrance, 702, Southwest 8th Street, Bentonville, Benton County, Arkansas, 72712, United States

    BENTONVILLE, AR 727160445

    Phone:

    Type: Mailing

  • Walmart Supercenter, 2100, North Main Street, Toll Gate Heights, Bluffton, Wells County, Indiana, 46714, United States

    BLUFFTON, IN 467141185

    Phone: (260) 824-0546

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (836 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930030883OPharmacyIN2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count31051$0
G0008Administration of influenza virus vaccine200199$0
90662Influenza vaccine split virus, preservative free185184$0
90480Admn sarscov2 vacc 1 dose136136$0
91322Sarscov2 vac 50 mcg/0.5ml im135135$0
View full utilization report →

Insurance plans in this area (ZIP 72716)

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Reviews

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Frequently asked questions

Does WAL-MART PHARMACY 10-2819 share an NPI with anyone else?
NPI numbers are unique to each provider or organization — WAL-MART PHARMACY 10-2819 uses 1760409130.
Is WAL-MART PHARMACY 10-2819 still practicing?
WAL-MART PHARMACY 10-2819 is currently listed as active in the public NPI registry.
What healthcare role does WAL-MART PHARMACY 10-2819 hold?
Scheduling teams often label WAL-MART PHARMACY 10-2819 under Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Does WAL-MART PHARMACY 10-2819 list a practice location?
Patients near Bentonville, Arkansas may find WAL-MART PHARMACY 10-2819 in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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