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 1669499901

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Corona, 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

1290 E Ontario Ave
Corona, CA 92881-3618
Phone: (951) 278-1645
Fax: (951) 278-2127
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 PHY45230 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1669499901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Sr Director · (479) 371-1168
Other names Walmart Pharmacy 10-2842; Walmart Pharmacy 10-2842
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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