Walmart Inc.
Community/Retail Pharmacy
3875 W Rancho Vista Blvd, Palmdale
California, 93551-2572
661-202-3604 661-202-3603
Walmart Inc. is a Community/Retail Pharmacy in Palmdale, California. It is located at 3875 W Rancho Vista Blvd, Palmdale and it's customer support contact number is 661-202-3604. 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 PHY52519 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: | 3875 W Rancho Vista Blvd, Palmdale,
California, 93551-2572 |
| Phone: | 661-202-3604 |
| Fax: | 661-202-3603 |
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: | 480-277-6348 |
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: | 1982093407 |
| NPI Enumeration Date: | 21 Jan, 2015 |
| 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 | PHY52519 | California | Primary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 1982093407 | Medicaid | California | |
| 2149811 | 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 | O20150727000612 | 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: | 479-258-2115 |
| Fax Number: | 479-277-4331 |
Patients can reach Walmart Inc. at
3875 W Rancho Vista Blvd, Palmdale, California or can
call on customer care at 661-202-3604.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.