WALMART INC.
NPI 1407873813
Pharmacy - Community/Retail Pharmacy in Simi Valley, CA

Q: What is Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1407873813. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-2621.

Q: What is Walmart Inc.'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 Inc. was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 16, 2006CLIA 05D2340945 · Waiver

255 COCHRAN ST, SIMI VALLEY, CA 93065(805) 581-6444(805) 581-1284 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Aug 28, 2023, Jul 19, 2018 and 4 more (7 updates tracked since 2016).

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About Walmart Inc. NPPES

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

WALMART INC. (NPI 1407873813), doing business as Walmart Pharmacy 10-2621, is a healthcare organization registered as a community/retail pharmacy in Simi Valley, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1407873813

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALMART INC.

Location Address255 COCHRAN STSimi Valley, CA 93065-6276

Mailing Address702 Sw 8th StBentonville, AR 72716-0445

Phone(805) 581-6444

Fax(805) 581-1284

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 28, 2023

✔ NPI 1407873813 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 · PHY44090

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

255 COCHRAN ST, Simi Valley, CA 93065

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Other Names 1

Doing Business AsWalmart Pharmacy 10-2621

Other Identifiers 2

Other1993309Pk

Medicaid463PHA440900CA

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 05D2340945

Walmart Pharmacy #10-2621 · Simi Valley, CA

Active · expires Mar 24, 2028

CLIA Number05D2340945

Laboratory TypePharmacy

Certificate Effective DateMarch 25, 2026

Certificate Expiration DateMarch 24, 2028

Laboratory DirectorKwok Virat

Laboratory Phone(805) 581-1666

Laboratory LocationWalmart Pharmacy #10-2621255 Cochran St, Simi Valley, CA 93065

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.

135 services134 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.

130 services129 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy # 10-2621 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy # 10-2621

DMEPOS supplier · Simi Valley, CAOperated by Walmart Inc

⋮

Does not accept Medicare assignment

Walmart Pharmacy # 10-2621 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)20426783

Medicare Participant SinceJanuary 1, 2019

Supplier Location255 Cochran StSimi Valley, CA 93065

Phone(805) 581-6444

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

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

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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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.

STANLEY MARTIN ECKERT OD

Optometrist