WALMART PHARMACY
NPI 1629487616
Community/Behavioral Health in San Bernardino, CA

NPI Status: Active since August 05, 2014

Contact Information

4001 HALLMARK PKWY
SAN BERNARDINO, CA
ZIP 92407
Phone: (909) 880-3652

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  • Organization
  • Community/Behavioral Health
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About WALMART PHARMACY

This page provides the complete NPI Profile along with additional information for Walmart Pharmacy, a provider established in San Bernardino, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1629487616 assigned on August 2014. The practitioner's primary taxonomy code is 251S00000X with license number 66773 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Rosemary Nwakaego Anyanwu (Pharmacy Manager)

NPI
1629487616
Provider Name
WALMART PHARMACY
Entity Type
Organization
Location Address
4001 HALLMARK PKWY SAN BERNARDINO, CA 92407
Location Phone
(909) 880-3652
Mailing Address
4001 HALLMARK PKWY SAN BERNARDINO, CA 92407
Mailing Phone
(909) 880-3652
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2014
Last Update Date
08-05-2014
Code Navigator



Walmart Pharmacy is a medicare supplier with PTAN 20441021 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Ostomy Supplies or Prosthetic Lenses: Conventional Eyeglasses or Enteral Nutrients or Surgical Dressings.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
66773
License State
CA
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ROSEMARY NWAKAEGO ANYANWU

Authorized Official Title
PHARMACY MANAGER
Authorized Official Phone
(909) 880-3652

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20441021
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • 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
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629487616, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 8 + 8 + 1 + 4 + 6 + 2 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1629487616.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Optometrist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
Optometrist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
Pharmacist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
Pharmacist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
Optometrist
4001 HALLMARK PKWY, #2
SAN BERNARDINO, CA 92407
Optometrist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
Optometrist
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
Eyewear Supplier
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407
Pharmacy (Community/Retail Pharmacy)
4001 HALLMARK PKWY
SAN BERNARDINO, CA 92407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629487616, enumerated as an "organization" on August 05, 2014.

The provider is located at 4001 HALLMARK PKWY SAN BERNARDINO, CA 92407 and the phone number is (909) 880-3652.

Community/Behavioral Health with taxonomy code 251S00000X.