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WALMART INC.
NPI 1023035441
Pharmacy - Community/Retail Pharmacy in Elk Grove, CA

Active since July 16, 2006CLIA Certified · 2 labs
8465 ELK GROVE BLVD, ELK GROVE, CA 95758(916) 684-7104(916) 684-7106 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2025, Jul 19, 2018, May 3, 2018 and 3 more (6 updates tracked since 2016).

About Walmart Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART INC. (NPI 1023035441), doing business as Walmart Pharmacy 10-1697, is a healthcare organization registered as a community/retail pharmacy in Elk Grove, California and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1023035441
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address8465 ELK GROVE BLVDElk Grove, CA 95758-9573
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(916) 684-7104
Fax(916) 684-7106
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 19, 20256 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1023035441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY37436
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
8465 ELK GROVE BLVD, Elk Grove, CA 95758
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Other Names 1

Doing Business AsWalmart Pharmacy 10-1697

Other Identifiers 2

Other2062478Pk
Medicaid463PHA374360CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2342820

Walmart Pharmacy #10-1697 · Elk Grove, CA
Active · expires Apr 26, 2028
CLIA Number05D2342820
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorVictoria Nghe
Laboratory Phone(916) 684-7100
Laboratory LocationWalmart Pharmacy #10-16978465 Elk Grove Blvd, Elk Grove, CA 95758
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2340336

Walmart Pharmacy #10-5683 · Elk Grove, CA
Active · expires Mar 15, 2028
CLIA Number05D2340336
Laboratory TypePharmacy
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorLinda Wang
Laboratory Phone(916) 509-3170
Laboratory LocationWalmart Pharmacy #10-56838455 Elk Grove Blvd, Elk Grove, CA 95758
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
86 services86 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
78 services78 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-1697 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-1697

DMEPOS supplier · Elk Grove, CAOperated by Walmart Inc
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-1697 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20447657
Medicare Participant SinceJanuary 1, 2019
Supplier Location8465 Elk Grove BlvdElk Grove, CA 95758
Phone(916) 684-7104
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT EARL ENGMARK
Pharmacist
8465 ELK GROVE BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-7104
MIN YOUNG KIM
Pharmacist
8465 ELK GROVE BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-7104
FIRSTSIGHT VISION SERVICES, INC.
Optometrist
8465 ELK GROVE BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-7111
VICTORIA NGHE
Pharmacist
8465 ELK GROVE BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-7104
WALMART STORES, INC.
Eyewear Supplier
8465 ELK GROVE BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-7100
DR. CHI LY PHARMD
Pharmacist
8465 ELK GROVE BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-7104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1023035441. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-1697.

Where is Walmart Inc. located?

Walmart Inc. is located at 8465 Elk Grove Blvd, Elk Grove, CA 95758. The listed phone number is (916) 684-7104.

What is Walmart Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walmart Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-1697 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Walmart Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Walmart Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Walmart Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on June 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.