OrganizationActive
Walmart Inc.
NPI 1245676667 · Community/Retail Pharmacy · San Diego, CA
Walmart Inc. is a Community/Retail Pharmacy organization in San Diego, CA (NPI 1245676667).
Provider details
- NPI number
- 1245676667
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Senior Director, Enrollment(480) 277-6348
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2121 Imperial Ave
San Diego, CA 92102-3826
Phone: (619) 849-5834
Fax: (619) 849-5835
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Pharmacy 10-5638
Registry dates
- Enumerated
- 2013-05-13
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Frequently asked questions
- What is Walmart Inc.'s NPI number?
- Walmart Inc.'s National Provider Identifier (NPI) is 1245676667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walmart Inc.?
- Walmart Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Walmart Inc. located?
- Walmart Inc.'s practice location on file with NPPES is 2121 Imperial Ave, San Diego, CA 92102-3826.
- What is Walmart Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Walmart Inc. is (619) 849-5834.
- Who is the authorized official for Walmart Inc.?
- The authorized official listed on Walmart Inc.'s NPPES record is Kimberly Canonic, Senior Director, Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walmart Inc.'s NPI active?
- Yes — Walmart Inc.'s NPI (1245676667) is active in the NPPES registry as of the last update on 2025-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.