Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Rapid City, SD, holding Type 2 (organization) NPI 1023035292 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023035292 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 1200 N LACROSSE ST, Rapid City, SD, 57701 |
| Phone | 6053420881 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-08-06 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4802776348 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 1001513 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8503650 | Medicaid | SD | — |
| 2094202 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1023035292 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1200 N LACROSSE ST, Rapid City, SD, 57701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205874252 | National Vision, Inc. | Organization | Eyewear Supplier | Rapid City, SD |
| 1295335792 | Dustin Wagner | Individual | Pharmacist | Rapid City, SD |
| 1083214217 | Anne Chmura | Individual | Pharmacist | Rapid City, SD |
| 1598366130 | Aimee Dufour | Individual | Pharmacist | Rapid City, SD |
| 1124742994 | Mackenzie Carlbom | Individual | Pharmacist | Rapid City, SD |
| 1801663596 | Walmart Inc. | Organization | Optician | Rapid City, SD |
Verify this record
Cross-check NPI 1023035292 against the authoritative CMS record: view Walmart Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Walmart Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-06.