WALMART INC. (NPI# 1881019156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881019156 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-4392 |
| Practice Address |
12234 Palmdale Rd Victorville CA 92392-9418 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7604933279 |
| Practice Fax Number | 7609629167 |
| Mailing Telephone | 4792771240 |
| Enumeration Date | 2014-02-24 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY51798 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2144433 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-4392 | 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 |
12234 PALMDALE RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306132063 | Hieu Doan | Optometrist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2011-06-21 |
| 1720564958 | Jeannie Situ, O.d., Inc. | Optometrist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2018-07-11 |
| 1528558269 | Jeannie Situ | Optometrist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2018-05-17 |
| 1477042828 | Enrico John Lucchesi | Pharmacist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2018-05-01 |
| 1326549668 | Eunice S Cho | Pharmacist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2018-02-22 |
| 1033663844 | Farzad Kahnamelli | Pharmacist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2016-08-09 |
| 1194142273 | Wal-mart Stores, Inc | Technician/Technologist | 12234 Palmdale Rd, Victorville, CA 92301 | 2014-03-26 |
| 1710265046 | Hieu Doan, O.d., Inc. | Optometrist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| 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 |
|---|---|---|---|---|
| 1841842945 | Unicare Health Inc | Pharmacy | 12401 Hesperia Rd Ste 3, Victorville, CA 92395-5844 | 2019-07-10 |
| 1174990030 | Vista Care Pharmacy Inc | Pharmacy | 12351 Mariposa Rd # 11, Victorville, CA 92395-6013 | 2015-08-26 |
| 1861888265 | Greentree Discount Pharmacy, Inc | Pharmacy | 12998 Hesperia Rd Ste 102, Victorville, CA 92395-8317 | 2015-04-13 |
| 1720328453 | Tilton Nguyen Pharmaceutical Inc | Pharmacy | 15433 W Sand St Ste 102, Victorville, CA 92392-2903 | 2013-02-16 |
| 1922049840 | Garfield Beach Cvs LLC | Pharmacy | 13650 Bear Valley Rd, Victorville, CA 92392-8827 | 2006-06-10 |
| 1801879291 | Asr Health Inc. | Pharmacy | 12677 Hesperia Road, Suite 180, Victorville, CA 92395 | 2005-11-21 |
| 1720360852 | Walgreens | Pharmacy | 13655 Bear Valley Rd, Victorville, CA 92392-8521 | 2011-09-14 |
| 1912237108 | A-dr Reddy Pharmacy | Pharmacy | 12998 Hesperia Rd, Ste 102, Victorville, CA 92395-8316 | 2010-01-11 |
| 1912097957 | Longs Drug Stores California Inc | Pharmacy | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-10-13 |
| 1023027620 | Longs Drug Store #733/network Pharmacy | Pharmacy | 12276 Hesperia Rd, Victorville, CA 92392 | 2006-08-05 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
Please comment or provide details below to improve the information on WALMART INC..
| 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.