Walmart Inc. is an authorized DME supplier for medicare equipments and products.
Walmart Inc. is a Community/Retail Pharmacy in Jackson, California. It is located at 10355 Wicklow Way, Jackson and it's customer support contact number is 209-223-5193. The authorized person of Walmart Inc. is Kimberly Canonic who is Senior Director, Enrollment of the pharmacy and his contact number is 480-277-6348. Active license number of Walmart Inc. is PHY39651 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.
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:
480-277-6348
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:
1588681811
NPI Enumeration Date:
16 Jul, 2006
NPI Last Update On:
05 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
PHY39651
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
2103333
Other
Pk
463PHA396510
Medicaid
California
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
O20100930025244
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:
--
Fax Number:
--
Patients can reach Walmart Inc. at 10355 Wicklow Way, Jackson, California or can call on customer care at 209-223-5193.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Jackson, California
Safeway Inc Speciality:Pharmacy Address: 12110 Industry Blvd, Jackson, CA Phone: 209-257-0786 Fax: 209-257-0790American Heritage Pharmacy Inc Speciality:Pharmacy Address: 830 E State Highway, 88, Jackson, CA Phone: 209-697-2000 Fax: 209-697-2222Raleys Speciality:Community/Retail Pharmacy Address: 781 South Highway 49, Jackson, CA Phone: 209-223-9670 American Heritage Pharmacy Inc Speciality:Pharmacy Address: 830 State Highway 88, Jackson, CA Phone: 209-697-2000 Fax: 209-697-2222Longs Drug Stores California Llc Speciality:Community/Retail Pharmacy Address: 515 S State Highway 49, Jackson, CA Phone: 209-223-2471 Fax: 209-223-1811