Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Chula Vista, CA, holding Type 2 (organization) NPI 1619994845 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619994845 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 1360 EASTLAKE PKWY, Chula Vista, CA, 91915 |
| Phone | 6194219432 |
| Fax | 6194219525 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-07-01 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4808530515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY46727 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA467270 | Medicaid | CA | — |
| 2112760 | Other | — | PK |
| 463PHA467270 | Medicaid | CA | — |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1619994845 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1360 EASTLAKE PKWY, Chula Vista, CA, 91915
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649351537 | Walmart Stores, Inc. | Organization | Eyewear Supplier | Chula Vista, CA |
| 1205017639 | Firstsight Vision Services, Inc. | Organization | Optometrist | Chula Vista, CA |
| 1417435066 | Magdalena Real | Individual | Pharmacist | Chula Vista, CA |
| 1760065742 | Sarah Jane Cruz | Individual | Pharmacist | Chula Vista, CA |
Verify this record
Cross-check NPI 1619994845 against the authoritative CMS record: view Walmart Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Walmart Inc. located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-01.