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 1396762647

Walmart Inc is a Durable Medical Equipment & Medical Supplies in City of Industry, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

17150 Gale Ave
City of Industry, CA 91745-1809
Phone: (626) 854-1006
Fax: (626) 854-1076
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 PHY41321 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1396762647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Sr. Director · (479) 371-1168
Other names Walmart Pharmacy 10-2251; Walmart Pharmacy 10-2251
NPI enumeratedJuly 16, 2006
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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