Walnut Village Pharmacy Inc
NPI 1669540803 · Community/Retail Pharmacy · Irvine, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Walnut Village Pharmacy Inc is a Community/Retail Pharmacy organization in Irvine, CA (NPI 1669540803).
Provider details
- NPI number
- 1669540803
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Fred Kim, Owner, Pharmacist in Charge(949) 551-4343
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
208 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 95 | $35 |
| Admn Sarscov2 Vacc 1 Dose90480 | 88 | $47 |
| Administration of Pneumococcal VaccineG0009 | 25 | $35 |
Typical Medicare-allowed amounts for these services range $35–$47 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Walnut Village Pharmacy
- Doing business as
- Walnut Village Pharmacy
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2020-08-28
- Certified
- 2020-08-28
Frequently asked questions
- What is Walnut Village Pharmacy Inc's NPI number?
- Walnut Village Pharmacy Inc's National Provider Identifier (NPI) is 1669540803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walnut Village Pharmacy Inc?
- Walnut Village Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Walnut Village Pharmacy Inc located?
- Walnut Village Pharmacy Inc's practice location on file with NPPES is 4840 Irvine Blvd. Ste 103, Irvine, CA 92620-1962.
- What is Walnut Village Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Walnut Village Pharmacy Inc is (949) 551-4343.
- Does Walnut Village Pharmacy Inc accept Medicare?
- Walnut Village Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Walnut Village Pharmacy Inc?
- The authorized official listed on Walnut Village Pharmacy Inc's NPPES record is Fred Kim, Owner, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walnut Village Pharmacy Inc's NPI active?
- Yes — Walnut Village Pharmacy Inc's NPI (1669540803) is active in the NPPES registry as of the last update on 2020-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.