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

Walmart Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1295265072

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Indio, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
3
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

44100 Jefferson St Ste F
Indio, CA 92201-2715
Phone: (619) 205-4247
Fax: (619) 205-4256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 55772 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1295265072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-8958
NPI enumeratedJune 14, 2017
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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