Wal-Mart Stores, Inc

Wal-Mart Stores, Inc is a healthcare organization registered as Eyewear Supplier in Jerome, ID, holding Type 2 (organization) NPI 1053401299 since 2006. The authorized official on file is Nicole Gentile, Npi Coordinator.

✓ Active NPI ✓ Valid NPI checksum

NPI	1053401299
Entity type	Organization (Type 2)
Legal business name	Wal-Mart Stores, Inc
Other name	<Unavail>
Practice address	2680 S LINCOLN AVE, Jerome, ID, 83338
Phone	2083244333
Enumeration date	2006-10-16
Last updated in NPPES	2025-09-11

Authorized official

Name	Nicole Gentile
Title	Npi Coordinator
Phone	3167885580

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
156FX1800X	Optician	Secondary	—	—
332H00000X	Eyewear Supplier	Primary	—	—

Copy-ready billing details

Provider: Wal-Mart Stores, Inc
NPI: 1053401299
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 2680 S LINCOLN AVE, Jerome, ID, 83338

Providers at this address

NPI	Name	Type	Specialty	Location
1700803053	Walmart Inc.	Organization	Community/Retail Pharmacy	Jerome, ID
1194838375	Jon Heitzman	Individual	Optometrist	Jerome, ID
1639586761	Peter Gibbons	Individual	Pharmacist	Jerome, ID
1790231355	Lexa Balling	Individual	Pharmacist	Jerome, ID
1215539648	Jacob Schimpf	Individual	Pharmacist	Jerome, ID
1164201554	Charles Barnes	Individual	Pharmacist	Jerome, ID

Verify this record

Cross-check NPI 1053401299 against the authoritative CMS record: view Wal-Mart Stores, 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Where is Wal-Mart Stores, Inc located?

The practice location on file with NPPES is in Jerome, ID.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.