WALMART INC. (NPI# 1205269727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205269727 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-4171 |
| Practice Address |
11822 Gilbert St Garden Grove CA 92841-2720 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7145911307 |
| Practice Fax Number | 7145911301 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
51648 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1205269727 | 05 | |
| PK | 2142255 | 01 |
| Other Name | Type Code |
|---|---|
| WalMart Pharmacy 10-4171 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336661461 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8270 Delta Shores Cir S, Sacramento, CA 95832-9101 | 2017-07-11 |
| 1710407895 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 6973 Blue Diamond Rd, Las Vegas, NV 89178-9213 | 2017-06-21 |
| 1295265072 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 44100 Jefferson St Ste F, Indio, CA 92201-2715 | 2017-06-14 |
| 1528594983 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 898 S 2550 E, Spanish Fork, UT 84660 | 2017-05-04 |
| 1922533082 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 9600 N Metro Pkwy W, Phoenix, AZ 85051-1402 | 2017-04-26 |
| 1730612425 | Walmart Inc. | Pharmacy | 9400 Ralston Rd, Arvada, CO 80002-2004 | 2017-04-10 |
| 1730628728 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5210 S Highway 95, Fort Mohave, AZ 86426-9223 | 2017-02-23 |
| 1881132926 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 875 E H St, Chula Vista, CA 91910-7807 | 2017-02-09 |
| 1104364157 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 831 E Fort Lowell Rd, Tucson, AZ 85719-2109 | 2017-02-09 |
| 1588109797 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5320 10th Ave S, Great Falls, MT 59405-5633 | 2016-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WALMART INC | 708 Sw 8th Street, Bentonville, AR 72716 |
| Colorado Business Entities | Walmart Inc. | 708 Sw 8th Street, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WALMART INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
| Iowa Business Entities | WALMART INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
| New York State Corporations | WALMART INC. | 28 Liberty Street, New York, New York 10005 |
| Virginia Business Entities | Walmart Inc. | 702 Sw 8th St, Bentonville, Arkansas 72716-6209 |
| Street Address |
11822 GILBERT ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578843991 | Sally Oeung | Optometrist | 11822 Gilbert St, Garden Grove, CA 92841-2720 | 2011-08-17 |
| 1649771726 | Anne Van Le | Pharmacist | 11822 Gilbert St, Garden Grove, CA 92841-2720 | 2018-02-23 |
| 1043606361 | Sally Oeung, Od Inc. | Optometrist | 11822 Gilbert St, Garden Grove, CA 92841-2720 | 2015-04-14 |
| 1538578661 | Walmart Pharmacy | Pharmacist | 11822 Gilbert St, Garden Grove, CA 92841-2720 | 2014-08-02 |
| 1457769796 | Loc Quang Tran | Pharmacist | 11822 Gilbert St, Garden Grove, CA 92841 | 2014-07-30 |
| 1114355393 | Wal-mart Stores, Inc | Technician/Technologist | 11822 Gilbert St, Garden Grove, CA 92841-2720 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794888 | Cali-wellcare Pharmacy Inc. | Pharmacy | 9972 Westminster Ave Ste 100, Garden Grove, CA 92844-5142 | 2020-03-06 |
| 1295373553 | Trung P Luu Family LLC | Pharmacy | 10212 Westminster Ave Ste 109, Garden Grove, CA 92843-4800 | 2019-12-18 |
| 1487208534 | Apex Pharmacy Plus Inc | Pharmacy | 9914 Garden Grove Blvd, Garden Grove, CA 92844-1645 | 2019-07-27 |
| 1194283606 | E-care Pharmacy Corp | Pharmacy | 13063 Euclid St, Garden Grove, CA 92843-1333 | 2019-03-05 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1871091926 | Top Drugs Pharmacy, Inc | Pharmacy | 11010 Magnolia St, Garden Grove, CA 92841-1046 | 2018-01-23 |
| 1205342524 | Ahcs Specialty Care LLC | Pharmacy | 12832 Valley View St Ste A&b, Garden Grove, CA 92845 | 2017-12-22 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1164899027 | The Hoang & Sons Pharmaceutical Inc | Pharmacy | 11033 Acacia Pkwy, Garden Grove, CA 92840-5126 | 2015-08-26 |
| 1205218773 | Pnr Pharma Inc | Pharmacy | 10741 Westminster Ave # C, Garden Grove, CA 92843-4919 | 2015-06-22 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.