Organization · Type 2 NPI

Walmart Inc.

Community/Retail Pharmacy · Fresno, CA

NPI number 1609287127 Active

Practice location

1804 E Ashlan Ave
Fresno, CA 93726-2019

Call (559) 470-6967 Map

Fax (559) 470-6970

Mailing address

1 Customer Dr, Ms 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	51972 (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 …

Another provider at this address

Bernard Okwelogu, PHARM DPharmacist Fresno, CA NPI 1659747756

Other community/retail pharmacy providers in Fresno

See all in Fresno →

NPI record

NPI: 1609287127
Entity type: Organization (Type 2)
Issued: May 19, 2014
Last updated: Sep 29, 2025
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-5632 · doing business as
Walmart Pharmacy 10-5632 · doing business as

Authorized official

Kimberly Canonic
Sr. Director
(479) 371-1168

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 1609287127

Walmart Inc.'s National Provider Identifier is 1609287127, issued on May 19, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Fresno, CA. The record was last updated on Sep 29, 2025.