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 1912307935

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

Licensed in
CA
In the registry since
2014
Specialties on file
3
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

1400 Lead Hill Blvd
Roseville, CA 95661-2949
Phone: (916) 783-9022
Fax: (916) 724-0022
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 52008 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1912307935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-4202; Walmart Pharmacy 10-4202
NPI enumeratedAugust 27, 2014
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

Other providers in Roseville