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WALMART INC.
NPI 1790168649
Pharmacy - Community/Retail Pharmacy in Wasco, CA

Active since July 09, 2015CLIA 05D2340596 · Waiver
401 N CENTRAL AVE, WASCO, CA 93280(661) 772-8059(661) 772-8058 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Aug 29, 2023, Jul 19, 2018 and 5 more (8 updates tracked since 2016).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1790168649), doing business as Walmart Pharmacy 10-5859, is a healthcare organization registered as a community/retail pharmacy in Wasco, California and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1790168649
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address401 N CENTRAL AVEWasco, CA 93280-1300
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-2115 · Fax (479) 277-4331
Phone(661) 772-8059
Fax(661) 772-8058
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 9, 2015
Last NPPES UpdateSeptember 19, 20258 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1790168649 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 · PHY53897
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
401 N CENTRAL AVE, Wasco, CA 93280
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Other Names 1

Doing Business AsWalmart Pharmacy 10-5859

Other Identifiers 2

Other2154018Pk
Medicaid1790168649CA

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 05D2340596

Walmart Pharmacy #10-5859 · Wasco, CA
Active · expires Mar 18, 2028
CLIA Number05D2340596
Laboratory TypePharmacy
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorShenouda Sarah
Laboratory Phone(661) 772-8061
Laboratory LocationWalmart Pharmacy #10-5859401 N Central Ave, Wasco, CA 93280
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-5859 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-5859

DMEPOS supplier · Wasco, CAOperated by Walmart Inc
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-5859 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)20442941
Medicare Participant SinceJanuary 1, 2019
Supplier Location401 N Central AveWasco, CA 93280
Phone(661) 772-8059
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
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
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 2

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

RUDY NUNEZ
Pharmacist
401 N CENTRAL AVE
WASCO, CA 93280
Kern County (661) 667-5966
WAL-MART STORES, INC.
Eyewear Supplier
401 N CENTRAL AVE
WASCO, CA 93280
Kern County (661) 772-8057

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 1790168649. It was assigned to this organization in the NPPES registry on July 9, 2015. The provider is doing business as Walmart Pharmacy 10-5859.

Where is Walmart Inc. located?

Walmart Inc. is located at 401 N Central Ave, Wasco, CA 93280. The listed phone number is (661) 772-8059.

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. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-5859 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.

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2340596) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.