WALMART INC.


Address: 4840 Shawline St, San Diego, CA 92111-1400
Phone: 8582687840

WALMART INC. (NPI# 1346267572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346267572
Entity Type Organization
Organization Name WALMART INC.
Other Organization Name WALMART PHARMACY 10-5338
Practice Address 4840 Shawline St
San Diego
CA 92111-1400
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 8582687840
Practice Fax Number 8582687870
Enumeration Date 2006-07-16
Last Update Date 2018-07-19
Authorized Official Name SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
Authorized Official Telephone 4792772500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHY46728 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2112762 01
CA 463PHA467280 05
CA 463PHA468280 05

Other Provider/Organization Names

Other Name Type Code
WALMART PHARMACY 10-5338 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336661461 Walmart Inc. Durable Medical Equipment & Medical Supplies 8270 Delta Shores Cir S, Sacramento, CA 95832-9101 2017-07-11
1710407895 Walmart Inc. Durable Medical Equipment & Medical Supplies 6973 Blue Diamond Rd, Las Vegas, NV 89178-9213 2017-06-21
1295265072 Walmart Inc. Durable Medical Equipment & Medical Supplies 44100 Jefferson St Ste F, Indio, CA 92201-2715 2017-06-14
1528594983 Walmart Inc. Durable Medical Equipment & Medical Supplies 898 S 2550 E, Spanish Fork, UT 84660 2017-05-04
1922533082 Walmart Inc. Durable Medical Equipment & Medical Supplies 9600 N Metro Pkwy W, Phoenix, AZ 85051-1402 2017-04-26
1730612425 Walmart Inc. Pharmacy 9400 Ralston Rd, Arvada, CO 80002-2004 2017-04-10
1730628728 Walmart Inc. Durable Medical Equipment & Medical Supplies 5210 S Highway 95, Fort Mohave, AZ 86426-9223 2017-02-23
1881132926 Walmart Inc. Durable Medical Equipment & Medical Supplies 875 E H St, Chula Vista, CA 91910-7807 2017-02-09
1104364157 Walmart Inc. Durable Medical Equipment & Medical Supplies 831 E Fort Lowell Rd, Tucson, AZ 85719-2109 2017-02-09
1588109797 Walmart Inc. Durable Medical Equipment & Medical Supplies 5320 10th Ave S, Great Falls, MT 59405-5633 2016-12-23

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations WALMART INC 708 Sw 8th Street, Bentonville, AR 72716
Colorado Business Entities Walmart Inc. 708 Sw 8th Street, Bentonville, AR 72716
Oregon Corporations, Companies and Business Names WALMART INC. 708 Sw 8th Street, Bentonville, AR 72716
Iowa Business Entities WALMART INC. 708 Sw 8th Street, Bentonville, AR 72716
New York State Corporations WALMART INC. 28 Liberty Street, New York, New York 10005
Virginia Business Entities Walmart Inc. 702 Sw 8th St, Bentonville, Arkansas 72716-6209

Office Location

Street Address 4840 SHAWLINE ST
City SAN DIEGO
State CA
Zip Code 92111-1400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003399304 Hoang Minh Ho, O.d, Inc Optometrist 4840 Shawline St, San Diego, CA 92111-1400 2018-09-12
1245730332 Sami Danesh Pharmacist 4840 Shawline St, San Diego, CA 92111-1400 2018-02-15
1770083149 Tiffany T Cao Pharmacist 4840 Shawline St, San Diego, CA 92111-1400 2018-02-12
1396153029 Howard Tran Pharmacist 4840 Shawline St, San Diego, CA 92111-1400 2014-07-25
1326323627 Thu Nguyen Optometrist 4840 Shawline St, San Diego, CA 92111-1400 2011-10-18
1376724740 Firstsight Vision Services, Inc. Optometrist 4840 Shawline St, San Diego, CA 92111-1400 2007-11-14
1275684847 Hoang Minh Ho Optometrist 4840 Shawline St, San Diego, CA 92111-1400 2007-01-12
1346321361 Walmart Stores, Inc. Technician/Technologist 4840 Shawline St, San Diego, CA 92111-1400 2006-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982220653 Karen Elizabeth Mitchell Registered Nurse County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 2020-06-18
1912523804 Access Medical, Inc. Durable Medical Equipment & Medical Supplies 4150 Convoy Street, Suite A, San Diego, CA 92111 2020-06-17
1154944551 Mei Ling Milan Szeto Student in an Organized Health Care Education/Training Program 7917 Ostrow Street, Suite A, San Diego, CA 92111 2020-05-20
1346893831 Leticia Isabel Peralta Assistant Behavior Analyst 563 Balboa Avenue. Number 521, San Diego, CA 92111 2019-07-23
1295204394 Demetria Serfas Behavioral Analyst 563 Balboa Ave #521, San Diego, CA 92111 2018-11-19
1568981678 Ross Psychology Psychologist 4883 Ronson Court, Suite K, San Diego, CA 92111 2017-09-11
1225554587 Bianca Acosta Technician, Other 563 Balboa Ave. #521, San Diego, CA 92111 2017-08-18
1194240085 Kazuhiro Kato Dentist 3707 Convoy St., San Diego, CA 92111 2017-08-11
1073038527 Joanne Epps-yentz Licensed Vocational Nurse 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 2017-08-06
1184158446 Positive Behavior Supports Corp Community/Behavioral Health 563 Balboa Ave, 521, San Diego, CA 92111 2017-04-13
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720689987 Capsule San Diego LLC Pharmacy 1450 Columbia St Ste B, San Diego, CA 92101-3487 2020-11-04
1710520960 Art Fertility LLC Pharmacy 11568 Sorrento Valley Rd Ste 12, San Diego, CA 92121-1313 2019-10-21
1043782022 Med Specialty Sai Inc Pharmacy 4153 University Ave Ste B, San Diego, CA 92105-1421 2019-01-01
1184139834 Eldahmy Wellness Pharmacy Inc. Pharmacy 1985 National Ave Ste 1103, San Diego, CA 92113-2155 2017-12-04
1154835973 Majestic Pharmacy Inc Pharmacy 7283 Engineer Rd Ste D, San Diego, CA 92111-1414 2017-12-01
1730634098 Med Specialty Sai Inc. Pharmacy 4153 University Avenue, Suite B, San Diego, CA 92105 2016-08-16
1043675366 Tu-uyen Le Pharmacy 3081-b Clairemont Drive, San Diego, CA 92117 2015-12-31
1285003442 Walgreens Pharmacy 7937 Hendricks Dr, San Diego, CA 92126-3538 2015-09-17
1376933820 Walgreen Co Pharmacy 602 Euclid Ave, San Diego, CA 92114-2207 2015-02-04
1639567605 Wellnessrx Pharmacy Corporation Pharmacy 5971 University Ave, Suite 304, San Diego, CA 92115-6335 2014-12-29
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Competitor

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City SAN DIEGO
Zip Code 92111

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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