Wal-Mart Stores, Inc.
Wal-Mart Stores, Inc. is a healthcare organization registered as Eyewear Supplier in Queen Creek, AZ, holding Type 2 (organization) NPI 1053409607 since 2006. The authorized official on file is Sarah Little, Director Healthcare Contracting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053409607 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores, Inc. |
| Other name | <Unavail> |
| Practice address | 1725 W HUNT HWY, Queen Creek, AZ, 85143 |
| Phone | 4803584180 |
| Fax | 4803584394 |
| Enumeration date | 2006-10-10 |
| Last updated in NPPES | 2022-07-21 |
Authorized official
| Name | Sarah Little |
|---|---|
| Title | Director Healthcare Contracting |
| Phone | 4792772500 |
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: 1053409607 Taxonomy: 332H00000X (Eyewear Supplier) Address: 1725 W HUNT HWY, Queen Creek, AZ, 85143
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346307600 | Walmart Inc. | Organization | Community/Retail Pharmacy | San Tan Valley, AZ |
| 1255755625 | Richard Austin | Individual | Pharmacist | San Tan Valley, AZ |
| 1760889547 | Jessica Bryner | Individual | Pharmacist | San Tan Valley, AZ |
| 1679959449 | Derek Dickson | Individual | Pharmacist | San Tan Valley, AZ |
| 1457801953 | Mark Simmons | Individual | Pharmacist | San Tan Valley, AZ |
| 1982415717 | Joel Montemayor | Individual | Ophthalmology Physician | San Tan Valley, AZ |
Verify this record
Cross-check NPI 1053409607 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
What type of organization is Wal-Mart Stores, Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.