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WAL-MART PHARMACY 30-5644
NPI 1679817092
Eyewear Supplier in Irvine, CA

Active since November 26, 2012CLIA 05D2339620 · Waiver
16555 VON KARMAN AVE, IRVINE, CA 92606(949) 623-7470 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wal-mart Pharmacy 30-5644 NPPES

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

WAL-MART PHARMACY 30-5644 (NPI 1679817092) is a healthcare organization registered as an eyewear supplier in Irvine, California and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Amy Powers, Specialist, Plan Enrollment, as its authorized official.

NPPES Registry Identity

NPI1679817092
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES INC
Location Address16555 VON KARMAN AVEIrvine, CA 92606-4928
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(949) 623-7470
Organization SubpartYes
Authorized OfficialAmy PowersSpecialist, Plan Enrollment · (479) 204-0709
Enumeration DateNovember 26, 2012
✔ NPI 1679817092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
16555 VON KARMAN AVE, Irvine, CA 92606
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Other Names 1

Doing Business AsWal-mart Pharmacy 30-5644

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 05D2339620

Walmart Pharmacy #10-5644 · Irvine, CA
Active · expires Mar 3, 2028
CLIA Number05D2339620
Laboratory TypePharmacy
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorBandoy Celestial
Laboratory Phone(949) 623-7476
Laboratory LocationWalmart Pharmacy #10-564416555 Von Karman Ave, Irvine, CA 92606
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. ALEXA ANG PHARMD
Pharmacist
16555 VON KARMAN AVE
IRVINE, CA 92606
Orange County (949) 623-7467
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
16555 VON KARMAN AVE
IRVINE, CA 92606
Orange County (949) 623-7470
DR. ANNE LI THAO DO TRUONG MPH, PHARMD
Pharmacist
16555 VON KARMAN AVE
IRVINE, CA 92606
Orange County (949) 623-7467

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 Wal-Mart Stores Inc's NPI number?

The NPI number for Wal-Mart Stores Inc is 1679817092. It was assigned to this organization in the NPPES registry on November 26, 2012. The provider is doing business as Wal-Mart Pharmacy 30-5644.

Where is Wal-Mart Stores Inc located?

Wal-Mart Stores Inc is located at 16555 Von Karman Ave, Irvine, CA 92606. The listed phone number is (949) 623-7470.

What is Wal-Mart Stores Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Wal-Mart Stores Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2339620) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores Inc was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.