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WALMART, INC.
NPI 1912774035
Technician/Technologist - Optician in Pomona, CA

Active since December 08, 2023
80 RIO RANCHO RD, POMONA, CA 91766(909) 397-9700(909) 620-7195 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart, Inc. NPPES

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

WALMART, INC. (NPI 1912774035), doing business as Walmart Pharmacy 10-3164, is a healthcare organization registered as an optician in Pomona, California and active in the NPI registry since December 2023. The organization lists Kimberly Canonic, Sr Direcgtor, as its authorized official.

NPPES Registry Identity

NPI1912774035
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWALMART, INC.
Location Address80 RIO RANCHO RDPomona, CA 91766-7013
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(909) 397-9700
Fax(909) 620-7195
Organization SubpartNo
Authorized OfficialKimberly CanonicSr Direcgtor · (479) 371-1168
Enumeration DateDecember 8, 2023
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1912774035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Also ListedEyewear SupplierTaxonomy 332H00000X
80 RIO RANCHO RD, Pomona, CA 91766
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3164

Other Providers at the Same Location NPPES 7

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

WALMART INC.
Pharmacy (Community/Retail Pharmacy)
80 RIO RANCHO RD
POMONA, CA 91766
Los Angeles County (909) 620-4077
SARAH T. PHAN
Pharmacist
80 RIO RANCHO RD
POMONA, CA 91766
Los Angeles County (909) 620-4077
KATEE QUACH OD INC
Optometrist
80 RIO RANCHO RD
POMONA, CA 91766
Los Angeles County (909) 397-9866
RICKY CHAN
Pharmacist
80 RIO RANCHO RD
POMONA, CA 91766
Los Angeles County (909) 620-4077
DR. JUDITH Y PARK PHARM.D.
Pharmacist
80 RIO RANCHO RD
POMONA, CA 91766
Los Angeles County (909) 620-4077
NATIONAL VISION, INC.
Eyewear Supplier
80 RIO RANCHO RD
POMONA, CA 91766
Los Angeles County (909) 397-9700
FIRSTSIGHT VISION SERVICES, INC,
Optometrist
80 RIO RANCHO RD
POMONA, CA 91766
Los Angeles County (909) 397-9866

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 1912774035. It was assigned to this organization in the NPPES registry on December 8, 2023. The provider is doing business as Walmart pharmacy 10-3164.

Where is Walmart, Inc. located?

Walmart, Inc. is located at 80 Rio Rancho Rd, Pomona, CA 91766. The listed phone number is (909) 397-9700.

What is Walmart, Inc.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Walmart, Inc. was last updated on October 2, 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.