WALMART PHARMACY 10-3164
NPI 1134996267
Technician/Technologist - Optician in Chula Vista, CA

NPI Status: Active since December 08, 2023

Contact Information

75 N BROADWAY
CHULA VISTA, CA
ZIP 91910
Phone: (619) 691-1156
Fax: (619) 691-1750

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  • Organization
  • Technician/Technologist
  • Optician
  • CLIA Number: 05D2341373
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 03-31-2028

About WALMART PHARMACY 10-3164

This page provides the complete NPI Profile along with additional information for Walmart Pharmacy 10-3164, a provider established in Chula Vista, California operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1134996267 assigned on December 2023. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Michele Garvey (Director Of Health Care Contracting)

NPI
1134996267
Provider Name
WALMART PHARMACY 10-3164
Entity Type
Organization
Location Address
75 N BROADWAY CHULA VISTA, CA 91910
Location Phone
(619) 691-1156
Location Fax
(619) 691-1750
Mailing Address
702 SW 8TH ST BENTONVILLE, AR 72716
Mailing Phone
(479) 258-2115
Mailing Fax
(619) 691-1750
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2023
Last Update Date
12-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician/Technologist Optician

Taxonomy Code
156FX1800X
Type
Eye and Vision Services Providers
Taxonomy Description
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332H00000XSuppliers

Eyewear Supplier

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELE GARVEY

Authorized Official Title
DIRECTOR OF HEALTH CARE CONTRACTING
Authorized Official Phone
(479) 277-2611

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2341373
Facility Type
Pharmacy
Certificate Effective Date
April 01, 2026
Certificate Expiration Date
March 31, 2028
Laboratory Director
OLGA ZADOROZHNYAYA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walmart Pharmacy 10-3164 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134996267, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 8 + 9 + 1 + 2 + 2 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1134996267.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Eyewear Supplier
75 N BROADWAY
CHULA VISTA, CA 91910
Optometrist (Corneal and Contact Management)
75 N BROADWAY
CHULA VISTA, CA 91910
Optometrist
75 N BROADWAY
CHULA VISTA, CA 91910
Pharmacist
75 N BROADWAY
CHULA VISTA, CA 91910
Pharmacist
75 N BROADWAY
CHULA VISTA, CA 91910
Pharmacist
75 N BROADWAY
CHULA VISTA, CA 91910
Pharmacist
75 N BROADWAY
CHULA VISTA, CA 91910
Pharmacy (Community/Retail Pharmacy)
75 N BROADWAY
CHULA VISTA, CA 91910
Optometrist
75 N BROADWAY
CHULA VISTA, CA 91910
Pharmacy (Community/Retail Pharmacy)
75 N BROADWAY
CHULA VISTA, CA 91910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134996267, enumerated as an "organization" on December 08, 2023.

The provider is located at 75 N BROADWAY CHULA VISTA, CA 91910 and the phone number is (619) 691-1156.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.