WALMART
NPI 1184175879
Pharmacy - Community/Retail Pharmacy in Orangevale, CA

Q: What is Walmart's NPI number?

The NPI number for Walmart is 1184175879. It was assigned to this organization in the NPPES registry on October 18, 2016.

Q: What is Walmart's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walmart was last updated on October 18, 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.

Active since October 18, 2016CLIA 05D2344163 · Waiver

8961 GREENBACK LN, ORANGEVALE, CA 95662(916) 989-9380 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Walmart NPPES

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

WALMART (NPI 1184175879) is a healthcare organization registered as a community/retail pharmacy in Orangevale, California and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through May 17, 2028 and lists Hayk Ginosyan, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1184175879

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALMART

Location Address8961 GREENBACK LNOrangevale, CA 95662-4601

Mailing Address8961 Greenback LnOrangevale, CA 95662-4601 · (916) 989-9380

Phone(916) 989-9380

Organization SubpartNo

Authorized OfficialHayk GinosyanPharmacist · (916) 990-6969

Enumeration DateOctober 18, 2016

✔ NPI 1184175879 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 · 75157

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.

8961 GREENBACK LN, Orangevale, CA 95662

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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 05D2344163

Walmart Pharmacy #10-4309 · Orangevale, CA

Active · expires May 17, 2028

CLIA Number05D2344163

Laboratory TypePharmacy

Certificate Effective DateMay 18, 2026

Certificate Expiration DateMay 17, 2028

Laboratory DirectorVivian T. Le

Laboratory Phone(916) 989-5800

Laboratory LocationWalmart Pharmacy #10-43098961 Greenback Ln, Orangevale, CA 95662

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 5

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

DR. LILIYA BORICHEVSKIY

Pharmacist