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

Walmart Inc

Organization Pharmacy · NPI 1417192634

Walmart Inc is a Pharmacy in San Leandro, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

15555 Hesperian Blvd
San Leandro, CA 94579-1801
Phone: (510) 351-0132
Fax: (510) 667-0458
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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 49273 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1417192634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5434; Walmart Pharmacy 10-5434
NPI enumeratedDecember 3, 2008
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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