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

WALNUT VILLAGE PHARMACY
NPI 1669540803
Pharmacy - Community/Retail Pharmacy in Irvine, CA

Active since December 04, 2006
4840 IRVINE BLVD. STE 103, IRVINE, CA 92620(949) 551-4343(949) 551-3078 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2020, Aug 27, 2019, Oct 28, 2016 and 1 more (4 updates tracked since 2016).

About Walnut Village Pharmacy NPPES

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

WALNUT VILLAGE PHARMACY (NPI 1669540803) is a healthcare organization registered as a community/retail pharmacy in Irvine, California and active in the NPI registry since December 2006. The organization lists Fred B Kim, Owner, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1669540803
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALNUT VILLAGE PHARMACY INC
Location Address4840 IRVINE BLVD. STE 103Irvine, CA 92620-1962
Mailing Address4840 Irvine Blvd. Ste 103Irvine, CA 92620-1962 · (949) 551-4343 · Fax (949) 551-3078
Phone(949) 551-4343
Fax(949) 551-3078
Organization SubpartNo
Authorized OfficialFred B KimOwner, Pharmacist In Charge · (949) 551-4343
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 28, 20204 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
✔ NPI 1669540803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedPharmacyTaxonomy 333600000X
4840 IRVINE BLVD. STE 103, Irvine, CA 92620
Open in Google Maps ↗

Other Names 1

Doing Business AsWalnut Village Pharmacy

Other Identifiers 2

MedicaidPHA508560CA
Other2002056Pk

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 3

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
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
25 services25 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
25 services25 patients

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Walnut Village Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Walnut Village Pharmacy Inc

DMEPOS supplier · Irvine, CA
⋮

Does not accept Medicare assignment

Walnut Village Pharmacy Inc 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)20599817
Medicare Participant SinceJuly 10, 2003
Supplier Location4840 Irvine Blvd Ste 103Irvine, CA 92620
Phone(949) 551-4343
Supplier Specialties
Pharmacy

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
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
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

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

MR. FRED B KIM PHARM.D.
Pharmacist
4840 IRVINE BLVD. STE 103
IRVINE, CA 92620
Orange County (949) 551-4343

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 Walnut Village Pharmacy Inc's NPI number?

The NPI number for Walnut Village Pharmacy Inc is 1669540803. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Walnut Village Pharmacy.

Where is Walnut Village Pharmacy Inc located?

Walnut Village Pharmacy Inc is located at 4840 Irvine Blvd. Ste 103, Irvine, CA 92620. The listed phone number is (949) 551-4343.

What is Walnut Village Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walnut Village Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walnut Village Pharmacy Inc 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 Walnut Village Pharmacy 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 Walnut Village Pharmacy 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 Walnut Village Pharmacy Inc was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.