Walmart Inc. is an authorized DME supplier for medicare equipments and products.
Walmart Inc. is a Community/Retail Pharmacy in Manteca, California. It is located at 1205 S Main St, Manteca and it's customer support contact number is 209-824-2121. The authorized person of Walmart Inc. is Kimberly Canonic who is Senior Director, Enrollment of the pharmacy and his contact number is 480-853-0515. Active license number of Walmart Inc. is PHY38043 for Community/Retail Pharmacy in California. Walmart Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Walmart Inc. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Walmart Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Walmart Inc.
Type:
Community/Retail Pharmacy
Location:
1205 S Main St, Manteca, California, 95337-5748
Phone:
209-824-2121
Fax:
209-824-2123
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kimberly Canonic
Position:
Senior Director, Enrollment
Contact Number:
480-853-0515
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1013934363
NPI Enumeration Date:
16 Jul, 2006
NPI Last Update On:
16 Jun, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walmart Inc. are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHY38043
California
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
463PHA380430
Medicaid
California
2002624
Other
Pk
Medicare Enrollment:
Walmart Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
4385556745
O20100930055597
Wal-mart Stores Inc.
DME SUPPLIER - PHARMACY
Products Available:
Walmart Inc. has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Mail Order
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Enteral Nutrients
Ostomy Supplies
Prosthetic Lenses: Conventional Contact Lenses
Prosthetic Lenses: Conventional Eyeglasses
Surgical Dressings
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
702 Sw 8th St, Bentonville, Arkansas
Zip:
72716-0445
Phone Number:
479-204-3559
Fax Number:
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Patients can reach Walmart Inc. at 1205 S Main St, Manteca, California or can call on customer care at 209-824-2121.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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