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 1508121914

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Modesto, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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

1421 Coffee Rd
Modesto, CA 95355-3170
Phone: (209) 222-5616
Fax: (209) 222-5557
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 PHY51063 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1508121914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-3046
NPI enumeratedJuly 11, 2012
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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