WALMART PHARMACY 10-0470 – Community/Retail Pharmacy, NPI 1790702959

WALMART PHARMACY 10-0470 is a healthcare provider. based in Corpus christi, Texas. specializing in Community/Retail Pharmacy. The organization holds a License No. 21707 (TX). The NPI Number for WALMART PHARMACY 10-0470 is 1790702959

Main info

Organization
Name
WALMART PHARMACY 10-0470
NPI
1790702959
Phone
(361) 854-5804
Address
1821 S PADRE ISLAND DR
Authorized Official
KIMBERLY CANONIC SENIOR DIRECTOR, ENROLLMENT
Enumeration Date
16 July 2006
Last Update Date
30 May 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

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Provider Addresses for WALMART PHARMACY 10-0470

  • Walmart Supercenter, 1821, South Padre Island Drive, Corpus Christi, Nueces County, Texas, 78416, United States

    CORPUS CHRISTI, TX 784161398

    Phone: (361) 854-5804

    Type: Location

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

    BENTONVILLE, AR 727160445

    Phone: (479) 277-1238

    Fax: (479) 277-4331

    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 scheduled

Earliest CMS due date is 2026-10-31 (140 days away).

Enrollment records

1

Earliest due date

2026-10-31

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
O20100930031984OPharmacyTX2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

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 count58166$0
G0008Administration of influenza virus vaccine2523$0
90662Influenza vaccine split virus, preservative free2422$0
G0009Administration of pneumococcal vaccine1616$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1515$0
View full utilization report →

Insurance plans in this area (ZIP 78416)

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Reviews

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Frequently asked questions

What federal number belongs to WALMART PHARMACY 10-0470?
The federal identifier for WALMART PHARMACY 10-0470 is NPI 1790702959.
Is WALMART PHARMACY 10-0470's NPI currently valid?
The extract we use shows WALMART PHARMACY 10-0470 as active.
What does WALMART PHARMACY 10-0470 treat or focus on?
Patients typically see WALMART PHARMACY 10-0470 under the specialty Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What location shows for WALMART PHARMACY 10-0470?
We surface Corpus Christi, Texas for WALMART PHARMACY 10-0470 based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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