WAL-MART PHARMACY 10-4173
NPI 1174960843
Pharmacy - Community/Retail Pharmacy in Hawaiian Gardens, CA

Active since June 04, 2013
12120 CARSON ST, HAWAIIAN GARDENS, CA 90716(562) 384-4063 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wal-mart Pharmacy 10-4173 NPPES

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

WAL-MART PHARMACY 10-4173 (NPI 1174960843) is a healthcare organization registered as a community/retail pharmacy in Hawaiian Gardens, California and active in the NPI registry since June 2013. The organization lists Laura Levine, Manager Of Government Contract, as its authorized official.

NPPES Registry Identity

NPI1174960843
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES INC
Location Address12120 CARSON STHawaiian Gardens, CA 90716-1108
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 273-4885
Organization SubpartNo
Authorized OfficialLaura LevineManager Of Government Contract · (479) 204-8550
Enumeration DateJune 4, 2013
Last NPPES UpdateOctober 6, 2014
NPI 1174960843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · 51527
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.

12120 CARSON ST, Hawaiian Gardens, CA 90716

Other Names 1

Doing Business AsWal-mart Pharmacy 10-4173

Other Identifiers 2

Medicare NSC0279613551
Other2140679Pk

Other Providers at the Same Location NPPES

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

Pharmacist
12120 CARSON ST
HAWAIIAN GARDENS, CA 90716

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 Wal-Mart Stores Inc's NPI number?

The NPI number for Wal-Mart Stores Inc is 1174960843. It was assigned to this organization in the NPPES registry on June 4, 2013. The provider is doing business as Wal-Mart Pharmacy 10-4173.

Where is Wal-Mart Stores Inc located?

Wal-Mart Stores Inc is located at 12120 Carson St, Hawaiian Gardens, CA 90716. The listed phone number is (562) 384-4063.

What is Wal-Mart Stores Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores Inc was last updated on October 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.