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WALMART INC.
NPI 1285590323
Pharmacy in Eastvale, CA

Active since January 02, 2026CLIA 05D2340920 · Waiver
14100 LIMONITE AVE, EASTVALE, CA 92880(909) 563-2577(909) 563-2578 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1285590323), doing business as Walmart Pharmacy 10-3129, is a healthcare organization registered as a pharmacy in Eastvale, California and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Kimberly Canonic, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1285590323
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALMART INC.
Location Address14100 LIMONITE AVEEastvale, CA 92880-3855
Mailing Address1 Customer Dr, Mail Stop 0445Bentonville, AR 72716-0445
Phone(909) 563-2577
Fax(909) 563-2578
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director · (480) 853-0515
Enumeration DateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
✔ NPI 1285590323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
14100 LIMONITE AVE, Eastvale, CA 92880
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3129

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 05D2340920

Walmart Pharmacy #10-3129 · Eastvale, CA
Active · expires Mar 24, 2028
CLIA Number05D2340920
Laboratory TypePharmacy
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorIdlibi Shala
Laboratory Phone(909) 563-2574
Laboratory LocationWalmart Pharmacy #10-312914100 Limonite Ave, Eastvale, CA 92880
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 4

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

NIKITA SARWAR OD PROF CORP
Optometrist
14100 LIMONITE AVE
EASTVALE, CA 92880
Riverside County (909) 816-8183
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
14100 LIMONITE AVE
EASTVALE, CA 92880
Riverside County (909) 563-2577
DR. NIKITA SARWAR OD
Optometrist
14100 LIMONITE AVE
EASTVALE, CA 92880
Riverside County (909) 816-8183
WALMART INC.
Technician/Technologist (Optician)
14100 LIMONITE AVE
EASTVALE, CA 92880
Riverside County (909) 563-2593

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 1285590323. It was assigned to this organization in the NPPES registry on January 2, 2026. The provider is doing business as Walmart Pharmacy 10-3129.

Where is Walmart Inc. located?

Walmart Inc. is located at 14100 Limonite Ave, Eastvale, CA 92880. The listed phone number is (909) 563-2577.

What is Walmart Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2340920) is associated with this NPI, valid through March 24, 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 Inc. was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.