WAL-MART PHARMACY 10-2228 – Community/Retail Pharmacy, NPI 1730106030

WAL-MART PHARMACY 10-2228 is a healthcare provider. based in Pittsfield, Massachusetts. specializing in Community/Retail Pharmacy. The organization holds a License No. CS2746 (MA). The NPI Number for WAL-MART PHARMACY 10-2228 is 1730106030

Main info

Organization
Name
WAL-MART PHARMACY 10-2228
NPI
1730106030
Phone
(413) 442-2241
Address
555 HUBBARD AVE STE 12
Authorized Official
KIMBERLY CANONIC SENIOR DIRECTOR, ENROLLMENT
Enumeration Date
16 July 2006
Last Update Date
5 June 2025

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

Provider Addresses for WAL-MART PHARMACY 10-2228

  • 555 HUBBARD AVE STE 12

    PITTSFIELD, MA 012013841

    Phone: (413) 442-2241

    Type: Location

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

    BENTONVILLE, AR 727160445

    Phone:

    Type: Mailing

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 2026-02-28 (104 days ago).

Enrollment records

1

Earliest due date

2026-02-28

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
O20100930070360OPharmacyMA2026-02-28

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 count1,218117$0
G0008Administration of influenza virus vaccine445445$0
90662Influenza vaccine split virus, preservative free399399$0
90480Admn sarscov2 vacc 1 dose281281$0
91322Sarscov2 vac 50 mcg/0.5ml im272272$0
View full utilization report →

Insurance plans in this area (ZIP 01201)

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Reviews

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Frequently asked questions

What number should I use to identify WAL-MART PHARMACY 10-2228 for billing?
Administrative and clinical systems typically use NPI 1730106030 for WAL-MART PHARMACY 10-2228.
Is WAL-MART PHARMACY 10-2228 currently accepting referrals based on NPI status?
Registry metadata lists WAL-MART PHARMACY 10-2228 as active.
What type of care does WAL-MART PHARMACY 10-2228 provide?
WAL-MART PHARMACY 10-2228's profile centers on Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What city is tied to WAL-MART PHARMACY 10-2228?
The directory associates WAL-MART PHARMACY 10-2228 with Pittsfield, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I export WAL-MART PHARMACY 10-2228's record?
You can download the official NPPES record; we summarize key fields for readability.

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