Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Reno, NV, holding Type 2 (organization) NPI 1023036787 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023036787 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 4855 KIETZKE LN, Reno, NV, 89509 |
| Phone | 7758291995 |
| Enumeration date | 2006-07-18 |
| Last updated in NPPES | 2025-06-02 |
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 | PH01026 | NV |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2816070 | Medicaid | NV | — |
| 2050814 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1023036787 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 4855 KIETZKE LN, Reno, NV, 89509
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851338115 | National Vision, Inc. | Organization | Eyewear Supplier | Reno, NV |
| 1568752822 | Jeffrey Ferris | Individual | Optometrist | Reno, NV |
| 1720375603 | Dana Ayala | Individual | Family Nurse Practitioner | Reno, NV |
| 1679014419 | Jamie Stott | Individual | Pharmacist | Reno, NV |
| 1194325373 | Stephen Tran | Individual | Pharmacist | Reno, NV |
| 1720680218 | Anna Carr | Individual | Pharmacist | Reno, NV |
| 1396349254 | Kim Trandang | Individual | Pharmacist | Reno, NV |
| 1154198307 | Walmart, Inc. | Organization | Optician | Reno, NV |
Verify this record
Cross-check NPI 1023036787 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 type of organization is Walmart Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-06-02.