<Unavail>

LBN: Walmart Inc.
<Unavail> is an health care organization with primary practice located at 1450 Monterey Rd , San Jose CA 95110-3445. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walmart Inc. can be contacted via phone (408) 454-4509, or through Canonic, Kimberly via phone (480) 277-6348.

Contact Information

Primary practice address
1450 Monterey Rd San Jose CA 95110-3445
Phone: (408) 454-4509
Fax: (408) 454-4510
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 277-6348

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY52160 California

Profile Details

NPI number 1467861112
LBN Legal business name Walmart Inc.
DBA Doing business as <Unavail>
Authorized official Canonic, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2014
Last updated Jun 15th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467861112 NPPES
Other 2148147 PK
MEDICAID 1467861112 PK

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