Walmart Inc.

Community/Retail Pharmacy Accepts Medicare


  
  80 Rio Rancho Rd, Pomona
California, 91766-4771

 909-620-4077    909-620-0747
Walmart Inc. is a Community/Retail Pharmacy in Pomona, California. It is located at 80 Rio Rancho Rd, Pomona and it's customer support contact number is 909-620-4077. The authorized person of Walmart Inc. is Kimberly Canonic who is Sr. Director of the pharmacy and his contact number is 479-371-1168. Active license number of Walmart Inc. is PHY41296 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:80 Rio Rancho Rd, Pomona,
California, 91766-4771
Phone:909-620-4077
Fax:909-620-0747
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: Sr. Director
Contact Number: 479-371-1168
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: 1205853553
NPI Enumeration Date: 16 Jul, 2006
NPI Last Update On: 29 Sep, 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.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy PHY41296CaliforniaPrimary
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.
IdentifierTypeStateIssuer
1998725OtherPk
463PHA412960MedicaidCalifornia
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 NameMedicare Entity Type
4385556745O20100930037889Wal-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: 1 Customer Dr, Ms 0445
    Bentonville, Arkansas
    Zip: 72716-0445
    Phone Number: --
    Fax Number: --
    Patients can reach Walmart Inc. at 80 Rio Rancho Rd, Pomona, California or can call on customer care at 909-620-4077.

    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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