Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Corona, CA, holding Type 2 (organization) NPI 1669499901 since 2006. The authorized official on file is Kimberly Canonic, Sr Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669499901 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 1290 E ONTARIO AVE, Corona, CA, 92881 |
| Phone | 9512781645 |
| Fax | 9512782127 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-09-29 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Sr Director |
| Phone | 4793711168 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY45230 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1996961 | Other | — | PK |
| 463PHA452300 | Medicaid | CA | — |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1669499901 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1290 E ONTARIO AVE, Corona, CA, 92881
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477508216 | National Vision, Inc. | Organization | Eyewear Supplier | Corona, CA |
| 1649450933 | Firstsight Vision Services, Inc. | Organization | Optometrist | Corona, CA |
| 1609365436 | Lisa Nguyen | Individual | Pharmacist | Corona, CA |
| 1841781259 | Ji Yun Kim | Individual | Pharmacist | Corona, CA |
| 1376120972 | Randy Ouellette | Individual | Pharmacist | Corona, CA |
| 1467229468 | Walmart, Inc. | Organization | Optician | Corona, CA |
| 1821841818 | Joseph H. Nguyen, O.D., Professional Corporation | Organization | Optometrist | Corona, CA |
Verify this record
Cross-check NPI 1669499901 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
What type of organization is Walmart Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-09-29.