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 1609293968

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.

See every abbreviation used in this directory →

Practice location Address checks out

4080 Stevens Creek Blvd
San Jose, CA 95129-1334
Phone: (408) 556-4507
Fax: (408) 556-4508
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 51785 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1609293968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-2486
NPI enumeratedMarch 25, 2014
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

Other providers in San Jose