Walmart INC.
Pharmacy, Community/Retail Pharmacy in Beatrice, NE. Organization (NPI-2).
NPI number1508883604
StatusActive
Last updated in NPPESAug 29, 2023
Details
- NPI
- 1508883604
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart INC.
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- Aug 29, 2023
- Last updated
- Aug 29, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 2419 | NE | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Practice location
3620 N 6th StBeatrice, NE 68310-1141
Phone 402-228-4594
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Sarah Little
Director Of Healthcare Contracting
4792772500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Community/Retail Pharmacy providers in Beatrice · All 586 providers in Beatrice
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