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WALMART
NPI 1114477379
Clinic/Center in Riverside, CA

Active since October 11, 2016CLIA 05D2339525 · Waiver
6250 VALLEY SPRINGS PKWY, RIVERSIDE, CA 92507(951) 653-2969 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walmart NPPES

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

WALMART (NPI 1114477379) is a healthcare organization registered as a clinic/center in Riverside, California and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Kathy Bui, Rph, as its authorized official.

NPPES Registry Identity

NPI1114477379
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWALMART
Location Address6250 VALLEY SPRINGS PKWYRiverside, CA 92507-0970
Mailing Address6250 Valley Springs PkwyRiverside, CA 92507-0970
Phone(951) 653-2969
Organization SubpartNo
Authorized OfficialKathy BuiRph · (714) 717-7068
Enumeration DateOctober 11, 2016
✔ NPI 1114477379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 74600
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6250 VALLEY SPRINGS PKWY, Riverside, CA 92507
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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 05D2339525

Walmart Pharmacy #10-1899 · Riverside, CA
Active · expires Mar 2, 2028
CLIA Number05D2339525
Laboratory TypePharmacy
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorMin Kyung
Laboratory Phone(951) 653-4849
Laboratory LocationWalmart Pharmacy #10-18996250 Valley Springs Pkwy, Riverside, CA 92507
CLIA data matches this NPI record on: Address Name
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.

KYUNG MIN PHARMD
Pharmacist
6250 VALLEY SPRINGS PKWY
RIVERSIDE, CA 92507
Riverside County (951) 653-2969
VIVIAN VAN NGUYEN
Pharmacist
6250 VALLEY SPRINGS PKWY
RIVERSIDE, CA 92507
Riverside County (951) 653-2969
SARAH M ABU ALRUB PHARMD, RPH
Pharmacist
6250 VALLEY SPRINGS PKWY
RIVERSIDE, CA 92507
Riverside County (951) 653-4849
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
6250 VALLEY SPRINGS PKWY
RIVERSIDE, CA 92507
Riverside County (951) 653-2969
ASHNA PATEL
Pharmacist
6250 VALLEY SPRINGS PKWY
RIVERSIDE, CA 92507
Riverside County (909) 703-0985
WALMART
Pharmacist
6250 VALLEY SPRINGS PKWY
RIVERSIDE, CA 92507
Riverside County (714) 717-7068
DR. MIKE LI OPTOMETRY INC
Optometrist
6250 VALLEY SPRINGS PKWY
RIVERSIDE, CA 92507
Riverside County (951) 656-7218
HANNAH HAN NGUYEN
Pharmacist
6250 VALLEY SPRINGS PKWY
RIVERSIDE, CA 92507
Riverside County (951) 653-2969

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's NPI number?

The NPI number for Walmart is 1114477379. It was assigned to this organization in the NPPES registry on October 11, 2016.

Where is Walmart located?

Walmart is located at 6250 Valley Springs Pkwy, Riverside, CA 92507. The listed phone number is (951) 653-2969.

What is Walmart's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Walmart hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2339525) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walmart was last updated on October 11, 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.