Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Surprise, AZ, holding Type 2 (organization) NPI 1053592626 since 2007. The authorized official on file is Kimberly Canonic, Senior Director Enrollment.

✓ Active NPI ✓ Valid NPI checksum

NPI	1053592626
Entity type	Organization (Type 2)
Legal business name	Walmart Inc.
Other name	<Unavail>
Practice address	15431 W GREENWAY RD, Surprise, AZ, 85374
Phone	6235840189
Enumeration date	2007-11-23
Last updated in NPPES	2025-07-09

Authorized official

Name	Kimberly Canonic
Title	Senior Director Enrollment
Phone	4793711168

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332B00000X	Durable Medical Equipment & Medical Supplies	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Primary	Y004912	AZ

Other identifiers

Identifier	Type	State	Issuer
1992601	Other	—	PK

Copy-ready billing details

Provider: Walmart Inc.
NPI: 1053592626
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 15431 W GREENWAY RD, Surprise, AZ, 85374

Providers at this address

NPI	Name	Type	Specialty	Location
1427470962	Peter Niedzwecki	Individual	Pharmacist	Surprise, AZ
1639591035	Gene Jiongco	Individual	Pharmacist	Surprise, AZ
1467166058	Melisa Muhic	Individual	Pharmacist	Surprise, AZ
1598645897	Ashley Rogers	Individual	Pharmacist	Surprise, AZ

Verify this record

Cross-check NPI 1053592626 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

Where is Walmart Inc. located?

The practice location on file with NPPES is in Surprise, AZ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-09. Verify at npiregistry.cms.hhs.gov.

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