Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Tempe, AZ, holding Type 2 (organization) NPI 1063439271 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063439271 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 1380 W ELLIOT RD, Tempe, AZ, 85284 |
| Phone | 4803451114 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-17 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4808530515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | Y02361 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7619201 | Medicaid | AZ | — |
| 1989401 | Other | — | PK |
| 076192 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1063439271 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1380 W ELLIOT RD, Tempe, AZ, 85284
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720168628 | Walmart Stores, Inc. | Organization | Eyewear Supplier | Tempe, AZ |
| 1861566291 | Quang Vu | Individual | Optometrist | Tempe, AZ |
| 1831511237 | Pamela Schmidt | Individual | Pharmacist | Tempe, AZ |
| 1033511696 | Richard Holder | Individual | Pharmacist | Tempe, AZ |
| 1508234303 | Mayur Patel | Individual | Pharmacist | Tempe, AZ |
| 1841749090 | Value Dental Center Tempe Az, LLC | Organization | Dental Clinic/Center | Tempe, AZ |
| 1114423662 | John Oechsner | Individual | Pharmacist | Tempe, AZ |
| 1821883547 | Leeronia Brown | Individual | Optician | Tempe, AZ |
Verify this record
Cross-check NPI 1063439271 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 2025-06-17.