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Walnut Village Pharmacy Inc

Community/Retail Pharmacy in Irvine, CA · enumerated 2006 · authorized official Fred Kim, Owner, Pharmacist in Charge.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669540803

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Registry record

Entity type Organization (Type 2)
Legal business name Walnut Village Pharmacy Inc
Other name <Unavail>
Practice address 4840 Irvine Blvd. Ste 103, Irvine, CA, 92620
Fax (949) 551-3078
Enumeration date Dec 4, 2006
Last updated in NPPES Aug 28, 2020

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Fred Kim
Title Owner, Pharmacist in Charge

Other identifiers

Identifier Type State Issuer
2002056 Other - PK
PHA508560 Medicaid CA -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-28. Verify at npiregistry.cms.hhs.gov.
Where is Walnut Village Pharmacy Inc located?
The practice location on file with NPPES is in Irvine, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-28.