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WALMART INC.
NPI 1396762647
Pharmacy - Community/Retail Pharmacy in City Of Industry, CA

Active since July 16, 2006
17150 GALE AVE, CITY OF INDUSTRY, CA 91745(626) 854-1006(626) 854-1076 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Aug 29, 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 1396762647), doing business as Walmart Pharmacy 10-2251, is a healthcare organization registered as a community/retail pharmacy in City Of Industry, California and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Sr. Director, as its authorized official.

NPPES Registry Identity

NPI1396762647
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address17150 GALE AVECity Of Industry, CA 91745-1809
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(626) 854-1006
Fax(626) 854-1076
Organization SubpartNo
Authorized OfficialKimberly CanonicSr. Director · (479) 371-1168
Enumeration DateJuly 16, 2006
Last NPPES UpdateSeptember 29, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1396762647 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 · PHY41321
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
17150 GALE AVE, City Of Industry, CA 91745
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Other Names 1

Doing Business AsWalmart Pharmacy 10-2251

Other Identifiers 2

Medicaid463PHA413210CA
Other1998724Pk

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 ›

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.
41 services41 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.
40 services40 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-2251 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-2251

DMEPOS supplier · City Of Industry, CAOperated by Walmart Inc
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-2251 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)20426885
Medicare Participant SinceJanuary 1, 2019
Supplier Location17150 Gale AveCity Of Industry, CA 91745
Phone(626) 854-1006
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 8

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

MRS. THANH THI NGUYEN RPH
Pharmacist
17150 GALE AVE
CITY OF INDUSTRY, CA 91745
Los Angeles County (626) 854-1006
WALMART, INC.
Technician/Technologist (Optician)
17150 GALE AVE
CITY OF INDUSTRY, CA 91745
Los Angeles County (626) 913-5055
PETER CHANG PHARM.D.
Pharmacist
17150 GALE AVE
CITY OF INDUSTRY, CA 91745
Los Angeles County (626) 854-1006
NATIONAL VISION, INC.
Eyewear Supplier
17150 GALE AVE
CITY OF INDUSTRY, CA 91745
Los Angeles County (626) 913-5055
LOAN MY LAM
Pharmacist
17150 GALE AVE
CITY OF INDUSTRY, CA 91745
Los Angeles County (626) 854-1006
DR. SIMON CHO O.D.
Optometrist
17150 GALE AVE
CITY OF INDUSTRY, CA 91745
Los Angeles County (626) 854-1166
FIRSTSIGHT VISION SERVICES, INC.
Optometrist
17150 GALE AVE
CITY OF INDUSTRY, CA 91745
Los Angeles County (626) 913-6336
MICHAEL HANG
Pharmacist
17150 GALE AVE
CITY OF INDUSTRY, CA 91745
Los Angeles County (626) 854-1006

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 1396762647. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-2251.

Where is Walmart Inc. located?

Walmart Inc. is located at 17150 Gale Ave, City Of Industry, CA 91745. The listed phone number is (626) 854-1006.

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, Walmart Pharmacy 10-2251 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.

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 48 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 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.