Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Clearlake, CA, holding Type 2 (organization) NPI 1831117308 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1831117308 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 15960 DAM RD, Clearlake, CA, 95422 |
| Phone | 7079941671 |
| Fax | 7079941673 |
| Enumeration date | 2006-07-17 |
| Last updated in NPPES | 2025-06-09 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4802776348 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY39666 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2103327 | Other | — | PK |
| 463PHA395480 | Medicaid | CA | — |
| 463PHA396660 | Medicaid | CA | — |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1831117308 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 15960 DAM RD, Clearlake, CA, 95422
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114334299 | Jasmine Lau | Individual | Pharmacist | Clearlake, CA |
| 1124615075 | Stephanie Nguyen | Individual | Pharmacist | Clearlake, CA |
| 1912677501 | Martin Galindo | Individual | Pharmacist | Clearlake, CA |
| 1598533622 | Meylinda Sari | Individual | Pharmacist | Clearlake, CA |
Verify this record
Cross-check NPI 1831117308 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
Where is Walmart Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-09.