Organization · Type 2 NPI

Walmart Inc.

Community/Retail Pharmacy · Patterson, CA

NPI number 1194069724 Active

Practice location

1030 Sperry Ave
Patterson, CA 95363-9267

Call (209) 895-4420 Map

Fax (209) 895-4428

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY51175 (CA)

Community/Retail Pharmacy: 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 …

5 other providers at this address

Other community/retail pharmacy providers in Patterson

Patterson Family Pharmacy, Inc.Community/Retail Pharmacy Patterson, CA NPI 1548372469

See all in Patterson →

NPI record

NPI: 1194069724
Entity type: Organization (Type 2)
Issued: Nov 20, 2012
Last updated: Sep 19, 2025
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-5843 · doing business as
Walmart Pharmacy 10-5843 · doing business as

Authorized official

Sarah Little
Director of Healthcare Contracting
(479) 277-2500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194069724

Walmart Inc.'s National Provider Identifier is 1194069724, issued on Nov 20, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Patterson, CA. The record was last updated on Sep 19, 2025.