We previously reported that mouse parotid acinar cells display an anion conductance (IATPCl) when stimulated by external ATP in Na+-free extracellular solutions. It has been suggested that the P2X7 receptor channel (P2X7R) might underlie IATPCl. In this work we show that IATPCl can be activated by ATP, ADP, AMP-PNP, ATPγS and CTP. This is consistent with the nucleotide sensitivity of P2X7R. Accordingly, acinar cells isolated from P2X7R−/− mice lacked IATPCl. Experiments with P2X7R heterologously expressed resulted in ATP-activated currents (IATP-P2X7) partially carried by anions. In Na+-free solutions, IATP-P2X7 had an apparent anion permeability sequence of SCN− > I− ≅ NO3− > Br− > Cl− > acetate, comparable to that reported for IATPCl under the same conditions. However, in the presence of physiologically relevant concentrations of external Na+, the Cl− permeability of IATP-P2X7 was negligible, albeit permeation of Br− or SCN− was clearly resolved. Relative anion permeabilities were not modified by addition of 1 mM Carbenoxolone—a blocker of Pannexin-1. Moreover, Cibacron Blue 3GA, which blocks the Na+ current activated by ATP in acinar cells but not IATPCl, blocked IATP-P2X7 in a dose-dependent manner when Na+ was present, but failed to do so in TEA+-containing solutions. Thus, our data indicate that P2X7R is fundamental for IATPCl generation in acinar cells and that external Na+ modulates ion permeability and conductivity as well as drug affinity in P2X7R.