Walnut Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

WALNUT PHARMACY LLC

Practice address

10331 W Goshen Ave Unit B
Visalia, CA 93291-8778

Phone

(559) 553-9145

Fax

(559) 369-2408

NPI assigned

Sep 5, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chandra Kadiyala

Title

Ceo

Phone

(509) 392-1958

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1891463659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10331 W GOSHEN AVE UNIT B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918778",
            "telephone_number": "559-553-9145",
            "fax_number": "559-369-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10331 W GOSHEN AVE UNIT B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918778",
            "telephone_number": "559-553-9145",
            "fax_number": "559-369-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-05",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "KADIYALA",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-392-1958",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "58331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Wallace Jr.
• Kelsey Leanne Wallen, MS-CCC-SLP
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Jessica Marie Juban Walterman
• Nicole Leigh Walther, DPT
• Edmund Wang, DO
• Jeffrey J Wang, MD
• Tianyu Wang, OD

• Long Term Care Pharmacy in Visalia, CA
• Providers in Visalia, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.