Walmart Inc.
NPI 1770458945 · Community/Retail Pharmacy · Eastvale, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Walmart Inc. is a Community/Retail Pharmacy organization in Eastvale, CA (NPI 1770458945).
Provider details
- NPI number
- 1770458945
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Senior Director(479) 371-1168
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Other names (DBA / former)
- Doing business as
- Walmart Pharmacy 10-3129
Registry dates
- Enumerated
- 2025-10-08
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Frequently asked questions
- What is Walmart Inc.'s NPI number?
- Walmart Inc.'s National Provider Identifier (NPI) is 1770458945, 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 14100 Limonite Ave, Eastvale, CA 92880-3855.
- What is Walmart Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Walmart Inc. is (909) 563-2577.
- Does Walmart Inc. accept Medicare?
- Walmart 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 Walmart Inc.?
- The authorized official listed on Walmart Inc.'s NPPES record is Kimberly Canonic, Senior Director. 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 (1770458945) is active in the NPPES registry as of the last update on 2025-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.