WALMART - NPI 1033666383 - Pharmacy in Ukiah, CA

Q: What is Walmart's NPI number?

The NPI number for Walmart is 1033666383. It was assigned to this organization in the NPPES registry on September 3, 2016.

Q: What is Walmart's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Walmart was last updated on September 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Walmart NPPES

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

WALMART (NPI 1033666383) is a healthcare organization registered as a pharmacy in Ukiah, California and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Chandi Sun, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1033666383

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALMART

Location Address1155 AIRPORT PARK BLVDUkiah, CA 95482-5998

Mailing Address1155 Airport Park BlvdUkiah, CA 95482-5998

Phone(707) 468-0258

Organization SubpartNo

Authorized OfficialChandi SunPharmacist · (425) 344-1891

Enumeration DateSeptember 3, 2016

✔ NPI 1033666383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

1155 AIRPORT PARK BLVD, Ukiah, CA 95482

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CLIA Laboratory Certificates CMS CLIA

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 05D2340788

Walmart Pharmacy #10-2052 · Ukiah, CA

Active · expires Mar 22, 2028

CLIA Number05D2340788

Laboratory TypePharmacy

Certificate Effective DateMarch 23, 2026

Certificate Expiration DateMarch 22, 2028

Laboratory DirectorBreland Jacqueline

Laboratory Phone(707) 468-0258

Laboratory LocationWalmart Pharmacy #10-20521155 Airport Park Blvd, Ukiah, CA 95482

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

JOHN JAMES CHLADEK

Pharmacist