Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Chino, CA, holding Type 2 (organization) NPI 1669499919 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669499919 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 3943 GRAND AVE, Chino, CA, 91710 |
| Phone | 9095907597 |
| Fax | 9095909113 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-19 |
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 | PHY45859 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463PHA458590 | Medicaid | CA | — |
| 463PHA461320 | Medicaid | CA | — |
| 2002325 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1669499919 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3943 GRAND AVE, Chino, CA, 91710
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952484594 | Wal-Mart Stores, Inc. | Organization | Eyewear Supplier | Chino, CA |
| 1952429748 | Al Vincent Romero | Individual | Optometrist | Chino, CA |
| 1407036825 | Firstsight Vision Services,Inc. | Organization | Optometrist | Chino, CA |
| 1962849976 | Kirkland Dental Corp PC | Organization | General Practice Dentistry | Chino, CA |
| 1154730208 | Uyen Cao | Individual | Pharmacist | Chino, CA |
| 1891104063 | Noah Chung | Individual | Pharmacist | Chino, CA |
| 1710358015 | Tammy Park | Individual | Pharmacist | Chino, CA |
| 1427421577 | Peter Chao | Individual | Ambulatory Care Pharmacist | Chino, CA |
Verify this record
Cross-check NPI 1669499919 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 2026-07-11. Provider record last updated 2025-06-19.