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
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy47502CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32114193OTHERPK

General Provider Information

NPI Number : 1467470252
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 :
Fax Number :
Provider Business Practice Location Address
First Line : 5821 ANTELOPE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95842-3902
Country : US
Telephone Number : 916-729-6236
Fax Number : 916-729-6248
Authorized Official
Title or Position : SENIOR DIRECTOR, ENROLLMENT
Name : KIMBERLY CANONIC
Credential :
Telephone Number : 480-853-0515
Provider Enumeration Date : 07/18/2006
Last Update Date : 06/12/2025

Similar Medicare Providers

1811329576 — KRISTY GALBADORES O.D.
Practice Location Address:
5821 ANTELOPE RD
SACRAMENTO, CA
95842-3902
Practice Phone: 916-723-0900
Practice Fax:
1245648286 — MR. TUAN N TRANNGUYEN PHARMD
Practice Location Address:
5821 ANTELOPE RD
SACRAMENTO, CA
95842-3902
Practice Phone: 916-729-6236
Practice Fax: 916-729-6248
1760890628 — EMILY RISHE
Practice Location Address:
5821 ANTELOPE RD
SACRAMENTO, CA
95842-3902
Practice Phone: 916-729-6236
Practice Fax: 916-729-6248
1528460763 — JE PAK
Practice Location Address:
5821 ANTELOPE RD
SACRAMENTO, CA
95842-3902
Practice Phone: 916-729-6236
Practice Fax:
1851776132 — BENJAMIN H CHO O.D.
Practice Location Address:
5821 ANTELOPE RD
SACRAMENTO, CA
95842-3902
Practice Phone: 510-688-0902
Practice Fax:
1669842811 — VAN DUONG PHARM D
Practice Location Address:
5821 ANTELOPE RD
SACRAMENTO, CA
95842-3902
Practice Phone: 916-729-6236
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.