WALMART PHARMACY 10-3356 – Community/Retail Pharmacy, NPI 1295777043

WALMART PHARMACY 10-3356 is a healthcare provider. based in Las vegas, Nevada. specializing in Community/Retail Pharmacy. The organization holds a License No. PH02137 (NV). The NPI Number for WALMART PHARMACY 10-3356 is 1295777043

Main info

Organization
Name
WALMART PHARMACY 10-3356
NPI
1295777043
Phone
(702) 407-5513
Address
7445 S EASTERN AVE
Authorized Official
KIMBERLY CANONIC SENIOR DIRECTOR, ENROLLMENT
Enumeration Date
12 June 2006
Last Update Date
19 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
Experience67
Completeness100
Years active:19State licenses:17/7 NPPES fields on file

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Provider Addresses for WALMART PHARMACY 10-3356

  • 7445, South Eastern Avenue, Clark County, Nevada, 89123, United States

    LAS VEGAS, NV 891231538

    Phone: (702) 407-5513

    Fax: (702) 407-5560

    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)

Revalidation due soon

Earliest CMS due date is 2026-07-31 (51 days away).

Enrollment records

1

Earliest due date

2026-07-31

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
O20100930092148OPharmacyNV2026-07-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 count44248$0
G0008Administration of influenza virus vaccine9191$0
90662Influenza vaccine split virus, preservative free8585$0
90480Admn sarscov2 vacc 1 dose7070$0
91322Sarscov2 vac 50 mcg/0.5ml im6868$0
View full utilization report →

Insurance plans in this area (ZIP 89123)

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Reviews

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Frequently asked questions

What is the standard ID for WALMART PHARMACY 10-3356 in the U.S.?
In the U.S., WALMART PHARMACY 10-3356 is identified by NPI 1295777043.
Does the public listing show WALMART PHARMACY 10-3356 as active?
WALMART PHARMACY 10-3356's NPI record reflects an active status in NPPES.
What services align with WALMART PHARMACY 10-3356's listing?
WALMART PHARMACY 10-3356's public classification highlights Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Is WALMART PHARMACY 10-3356 tied to Las Vegas, Nevada?
If you are local to Las Vegas, Nevada, WALMART PHARMACY 10-3356 may be relevant to your search.
Who maintains WALMART PHARMACY 10-3356's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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