DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WALMART INC.

MEDICARE: WALMART INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy52405CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22148501OTHERPK

General Provider Information

NPI Number : 1043615578
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALMART INC.
Provider Business Mailing Address
First Line : 702 SW 8TH ST
Second Line :
City : BENTONVILLE
State : AR
Zip : 72716-0445
Country : US
Telephone Number : 479-258-2115
Fax Number : 479-277-4331
Provider Business Practice Location Address
First Line : 6197 SUNRISE BLVD
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-6834
Country : US
Telephone Number : 916-560-0036
Fax Number : 916-560-0033
Authorized Official
Title or Position : SENIOR DIRECTOR, ENROLLMENT
Name : KIMBERLY CANONIC
Credential :
Telephone Number : 480-277-6348
Provider Enumeration Date : 10/27/2014
Last Update Date : 06/09/2025

Similar Medicare Providers

1750581740 — WALGREEN CO
Practice Location Address:
6199 SUNRISE BLVD
CITRUS HEIGHTS, CA
95610-6834
Practice Phone: 916-726-6802
Practice Fax:
1902180250 — KIMLONG THI MEYER PHARMD
Practice Location Address:
6199 SUNRISE BLVD
CITRUS HEIGHTS, CA
95610-6834
Practice Phone: 916-726-6802
Practice Fax: 916-726-6834
1124303979 — DR. BRIAN H SHINJO PHARM.D
Practice Location Address:
6199 SUNRISE BLVD
CITRUS HEIGHTS, CA
95610-6834
Practice Phone: 916-726-6802
Practice Fax: 916-726-6834
1194277376 — CAROL LUU
Practice Location Address:
6197 SUNRISE BLVD
CITRUS HEIGHTS, CA
95610-6834
Practice Phone: 916-560-0036
Practice Fax:
1912435769 — QUYNH NHU THI NGUYEN PHARMD
Practice Location Address:
6199 SUNRISE BLVD
CITRUS HEIGHTS, CA
95610-6834
Practice Phone: 916-726-6802
Practice Fax:
1649752361 — ARNOLD DALLAS
Practice Location Address:
6199 SUNRISE BLVD
CITRUS HEIGHTS, CA
95610-6834
Practice Phone: 916-726-6802
Practice Fax:

Directions to “WALMART INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.