1. Home
  2. Directory
  3. California
  4. San Diego
  5. Pharmacy
  6. NPI Profile

WALMART INC.
NPI 1346267572
Pharmacy - Community/Retail Pharmacy in San Diego, CA

Active since July 16, 2006CLIA 05D2340639 · Waiver
4840 SHAWLINE ST, SAN DIEGO, CA 92111(858) 268-7840(858) 268-7870 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2025, Jul 19, 2018, May 8, 2018 and 2 more (5 updates tracked since 2017).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1346267572), doing business as Walmart Pharmacy 10-5338, is a healthcare organization registered as a community/retail pharmacy in San Diego, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1346267572
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address4840 SHAWLINE STSan Diego, CA 92111-1400
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(858) 268-7840
Fax(858) 268-7870
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 13, 20255 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1346267572 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 · PHY46728
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
4840 SHAWLINE ST, San Diego, CA 92111
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-5338

Other Identifiers 3

Other2112762Pk
Medicaid463PHA467280CA
Medicaid463PHA468280CA

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 05D2340639

Walmart Pharmacy #10-5338 · San Diego, CA
Active · expires Mar 18, 2028
CLIA Number05D2340639
Laboratory TypePharmacy
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorNuan H. De
Laboratory Phone(858) 268-2885
Laboratory LocationWalmart Pharmacy #10-53384840 Shawline St, San Diego, CA 92111
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.
95 services95 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.
90 services90 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal Mart Pharmacy 10-5338 carries, from the Medicare DMEPOS supplier directory.

Wal Mart Pharmacy 10-5338

DMEPOS supplier · San Diego, CAOperated by Walmart Inc
⋮

Does not accept Medicare assignment

Wal Mart Pharmacy 10-5338 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20441591
Medicare Participant SinceJanuary 1, 2019
Supplier Location4840 Shawline StSan Diego, CA 92111
Phone(858) 268-7840
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 11

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

HOANG MINH HO, O.D, INC
Optometrist
4840 SHAWLINE ST
SAN DIEGO, CA 92111
San Diego County (858) 560-5742
SAMI DANESH PHARMD
Pharmacist
4840 SHAWLINE ST
SAN DIEGO, CA 92111
San Diego County (858) 268-7840
HOANG MINH HO O.D.
Optometrist
4840 SHAWLINE ST
SAN DIEGO, CA 92111
San Diego County (858) 560-5742
THU THI NGUYEN O.D.
Optometrist
4840 SHAWLINE ST
SAN DIEGO, CA 92111
San Diego County (858) 560-5742
WALMART STORES, INC.
Eyewear Supplier
4840 SHAWLINE ST
SAN DIEGO, CA 92111
San Diego County (858) 268-2885
FIRSTSIGHT VISION SERVICES, INC.
Optometrist
4840 SHAWLINE ST
SAN DIEGO, CA 92111
San Diego County (858) 560-5742
HOWARD TRAN
Pharmacist
4840 SHAWLINE ST
SAN DIEGO, CA 92111
San Diego County (858) 268-7840
MARYAM JABRI
Pharmacist
4840 SHAWLINE ST
SAN DIEGO, CA 92111
San Diego County (858) 268-7840

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 1346267572. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-5338.

Where is Walmart Inc. located?

Walmart Inc. is located at 4840 Shawline St, San Diego, CA 92111. The listed phone number is (858) 268-7840.

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. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal Mart Pharmacy 10-5338 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2340639) is associated with this NPI, valid through March 18, 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 June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.