Organization · Type 2 NPI

Walmart Inc.

Community/Retail Pharmacy · Victorville, CA

NPI number 1881019156 Active

Practice location

12234 Palmdale Rd
Victorville, CA 92392-9418

Call (760) 493-3279 Map

Fax (760) 962-9167

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY51798 (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 Victorville

See all in Victorville →

NPI record

NPI: 1881019156
Entity type: Organization (Type 2)
Issued: Feb 24, 2014
Last updated: Jul 10, 2025
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-4392 · doing business as
Walmart Pharmacy 10-4392 · doing business as

Authorized official

Kimberly Canonic
Senior Director, Enrollment
(480) 853-0515

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.

Is this your record? How to update it.

About NPI 1881019156

Walmart Inc.'s National Provider Identifier is 1881019156, issued on Feb 24, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Victorville, CA. The record was last updated on Jul 10, 2025.