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WALMART INC.
NPI 1184641318
Pharmacy - Community/Retail Pharmacy in San Bernardino, CA

Active since July 16, 2006CLIA 05D2339637 · Waiver
4001 HALLMARK PKWY, SAN BERNARDINO, CA 92407(909) 880-3652(909) 880-4023 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Aug 30, 2023, Jul 19, 2018 and 4 more (7 updates tracked since 2016).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1184641318), doing business as Walmart Pharmacy 10-3276, is a healthcare organization registered as a community/retail pharmacy in San Bernardino, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1184641318
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address4001 HALLMARK PKWYSan Bernardino, CA 92407-1876
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(909) 880-3652
Fax(909) 880-4023
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 16, 2006
Last NPPES UpdateSeptember 19, 20257 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1184641318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY46456
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
4001 HALLMARK PKWY, San Bernardino, CA 92407
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3276

Other Identifiers 3

Other2112209Pk
Medicaid463PHA458590CA
Medicaid463PHA464560CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 05D2339637

Walmart Pharmacy #10-3276 · San Bernardino, CA
Active · expires Mar 3, 2028
CLIA Number05D2339637
Laboratory TypePharmacy
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorYu Nina
Laboratory Phone(909) 880-4038
Laboratory LocationWalmart Pharmacy #10-32764001 Hallmark Pkwy, San Bernardino, CA 92407
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services32 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
31 services31 patients

Other Providers at the Same Location NPPES 9

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

FIRSTSIGHT VISION SERVICES, INC.
Optometrist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 887-1881
WAL-MART STORES, INC.
Eyewear Supplier
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 880-4038
DR. JACKELYN HONG PHARM.D.
Pharmacist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 880-3652
SAMUEL K CHUN PHARM. D.
Pharmacist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 880-3652
WALMART PHARMACY
Community/Behavioral Health
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 880-3652
IRENE P LOU, OD INC
Optometrist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 887-1881
IRENE PULIDO LOU O.D.
Optometrist
4001 HALLMARK PKWY, #2
SAN BERNARDINO, CA 92407
San Bernardino County (909) 887-1881
DR. RICARDO ESPINOSA O.D.
Optometrist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 887-1881

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 Inc.'s NPI number?

The NPI number for Walmart Inc. is 1184641318. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-3276.

Where is Walmart Inc. located?

Walmart Inc. is located at 4001 Hallmark Pkwy, San Bernardino, CA 92407. The listed phone number is (909) 880-3652.

What is Walmart Inc.'s specialty?

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

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2339637) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walmart Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Walmart Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.