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 1467861112

Walmart Inc is a Durable Medical Equipment & Medical Supplies in San Jose, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

1450 Monterey Rd
San Jose, CA 95110-3445
Phone: (408) 454-4509
Fax: (408) 454-4510
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 PHY52160 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1467861112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4174
NPI enumeratedAugust 7, 2014
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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