WALMART INC.
NPI 1861892754
Pharmacy - Community/Retail Pharmacy in Indio, CA

Active since August 27, 2014CLIA 05D2339523 · Waiver
82491 AVENUE 42, INDIO, CA 92203(760) 262-5830(760) 262-8517 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2025, Jul 19, 2018, May 4, 2018 and 4 more (7 updates tracked since 2015).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1861892754), doing business as Walmart Pharmacy 10-2181, is a healthcare organization registered as a community/retail pharmacy in Indio, California and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1861892754
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address82491 AVENUE 42Indio, CA 92203-9307
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-2115 · Fax (479) 277-4331
Fax(760) 262-8517
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateAugust 27, 2014
Last NPPES UpdateJune 2, 20257 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1861892754 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 · PHY52007
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
82491 AVENUE 42, Indio, CA 92203

Other Names 1

Doing Business AsWalmart Pharmacy 10-2181

Other Identifiers 2

Medicaid1861892754CA
Other2147618Pk

Accepted 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 05D2339523

Walmart Pharmacy #10-2181 · Indio, CA
Active · expires Mar 2, 2028
CLIA Number05D2339523
Laboratory TypePharmacy
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorHalim Mina
Laboratory Phone(760) 262-8004
Laboratory LocationWalmart Pharmacy #10-218182-491 Avenue 42, Indio, CA 92203
CLIA data matches this NPI record on: 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 10-2181 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-2181

DMEPOS supplier · Indio, CAOperated by Walmart Inc

Does not accept Medicare assignment

Walmart Pharmacy 10-2181 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)20444411
Medicare Participant SinceJanuary 1, 2019
Supplier Location82-491 Avenue 42Indio, CA 92203
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.

Pharmacist
82491 AVENUE 42
INDIO, CA 92203
Optometrist
82491 AVENUE 42
INDIO, CA 92203

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 1861892754. It was assigned to this organization in the NPPES registry on August 27, 2014.

Where is Walmart Inc. located?

Walmart Inc. is located at 82491 Avenue 42, Indio, CA 92203. The listed phone number is (760) 262-5830.

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 10-2181 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 05D2339523) is associated with this NPI, valid through March 2, 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 June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.