NPI age
14 years
Enumerated 2011-11-28
● Active Type 2 · Organization
Walmart Inc.
Walmart Inc. is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Little
Director Of Healthcare Contracting
Last NPPES update
2025-09-19
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
14 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 70% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-11Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2470 W Pullman Rd
Moscow, ID 838434034
Mailing address
702 Sw 8th St
Bentonville, AR 727166209
Authorized official
Sarah Little
Director Of Healthcare Contracting
📞 4792772500
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Bertha Futse, PHARMD Pharmacist NPI 1184102600
- Ray Lee Student in an Organized Health Care Education/Training Program NPI 1962868117
- Tiffany Thomas, PHARMD Pharmacist NPI 1326526898
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2132888 | PK |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WalMart Pharmacy 10-5869
-
WalMart Pharmacy 10-5869
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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