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WALMART INC.
NPI 1659705374
Pharmacy - Community/Retail Pharmacy in Rialto, CA

Active since August 29, 2013CLIA Certified · 2 labs
300 W BASE LINE RD, RIALTO, CA 92376(909) 546-3061(909) 546-3060 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Jul 19, 2018, Feb 26, 2018 and 2 more (5 updates tracked since 2016).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1659705374), doing business as Walmart Pharmacy 10-3131, is a healthcare organization registered as a community/retail pharmacy in Rialto, California and active in the NPI registry since August 2013. The organization holds 2 active CLIA laboratory certificates and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1659705374
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address300 W BASE LINE RDRialto, CA 92376-3347
Mailing Address702 Sw 8th StreetBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(909) 546-3061
Fax(909) 546-3060
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateAugust 29, 2013
Last NPPES UpdateJune 5, 20255 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1659705374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · 51578
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
300 W BASE LINE RD, Rialto, CA 92376
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3131

Other Identifiers 2

Medicaid1659705374CA
Other2142182Pk

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 2

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 05D2340330

Walmart Pharmacy #10-3131 · Rialto, CA
Active · expires Mar 15, 2028
CLIA Number05D2340330
Laboratory TypePharmacy
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorTan Cathy
Laboratory Phone(909) 546-3019
Laboratory LocationWalmart Pharmacy #10-3131300 W Base Line Rd, Rialto, CA 92376
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2341029

Walmart Pharmacy #10-1862 · Rialto, CA
Active · expires Mar 25, 2028
CLIA Number05D2341029
Laboratory TypePharmacy
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorDianna Ambartsumyan
Laboratory Phone(909) 820-9912
Laboratory LocationWalmart Pharmacy #10-18621366 S Riverside Ave, Rialto, CA 92376
CLIA data matches this NPI record on: 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.
24 services24 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.
22 services22 patients

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.

TRUNG LE PHARMD
Pharmacist
300 W BASE LINE RD
RIALTO, CA 92376
San Bernardino County (909) 546-3061
JOSEPH NGUYEN
Pharmacist
300 W BASE LINE RD
RIALTO, CA 92376
San Bernardino County (909) 546-3061
DAVID LING HUI LIU PHARMD
Pharmacist
300 W BASE LINE RD
RIALTO, CA 92376
San Bernardino County (909) 546-3019
ALEJANDRO A CUADRA
Pharmacist
300 W BASE LINE RD
RIALTO, CA 92376
San Bernardino County (909) 546-3019

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 1659705374. It was assigned to this organization in the NPPES registry on August 29, 2013. The provider is doing business as WalMart Pharmacy 10-3131.

Where is Walmart Inc. located?

Walmart Inc. is located at 300 W Base Line Rd, Rialto, CA 92376. The listed phone number is (909) 546-3061.

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. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.