WALMART INC.
NPI 1942227368
Pharmacy - Community/Retail Pharmacy in Rialto, CA

Q: What is Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1942227368. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-1862.

Q: What is Walmart Inc.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on June 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 16, 2006

1366 S RIVERSIDE AVE, RIALTO, CA 92376(909) 820-7635(909) 820-1094 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2025, Jul 19, 2018, May 3, 2018 and 3 more (6 updates tracked since 2016).

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About Walmart Inc. NPPES

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

WALMART INC. (NPI 1942227368), doing business as Walmart Pharmacy 10-1862, is a healthcare organization registered as a community/retail pharmacy in Rialto, California and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1942227368

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALMART INC.

Location Address1366 S RIVERSIDE AVERialto, CA 92376-7608

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-2115 · Fax (479) 277-4331

Phone(909) 820-7635

Fax(909) 820-1094

Organization SubpartNo

Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515

Enumeration DateJuly 16, 2006

Last NPPES UpdateJune 12, 20256 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1942227368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY39007

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

Also ListedPharmacyTaxonomy 333600000X

1366 S RIVERSIDE AVE, Rialto, CA 92376

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Other Names 1

Doing Business AsWalmart Pharmacy 10-1862

Other Identifiers 2

Other2047813Pk

Medicaid463PHA390070CA

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 2

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.

24 services24 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

19 services19 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-3131 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-3131

DMEPOS supplier · Rialto, CAOperated by Walmart Inc

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Does not accept Medicare assignment

Walmart Pharmacy 10-3131 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)20444045

Medicare Participant SinceJanuary 1, 2019

Supplier Location300 West Baseline RoadRialto, CA 92376

Phone(909) 546-3061

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

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.

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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.

DENNIS WONG O.D.

Optometrist