Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walmart Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1215374913

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Vacaville, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2050 Nut Tree Rd
Vacaville, CA 95687-7108
Phone: (707) 359-3261
Fax: (707) 359-3262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 51475 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1215374913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-5007; Walmart Pharmacy 10-5007
NPI enumeratedJune 4, 2013
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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