Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in De Queen, AR, holding Type 2 (organization) NPI 1063439453 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063439453 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 926 E COLLIN RAYE DR, De Queen, AR, 71832 |
| Phone | 8706426921 |
| Fax | 8706426815 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-05-30 |
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 | AR14021 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1994547 | Other | — | PK |
| 110272407 | Medicaid | AR | — |
| 225842716 DME | Medicaid | AR | — |
| 100231710A | Medicaid | AR | — |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1063439453 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 926 E COLLIN RAYE DR, De Queen, AR, 71832
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821698291 | Alan Byrd | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | De Queen, AR |
| 1851011373 | Stephanie Rivas | Individual | Pharmacist | De Queen, AR |
| 1518786268 | Austin Richards | Individual | Ambulatory Care Pharmacist | De Queen, AR |
Verify this record
Cross-check NPI 1063439453 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
Who is the authorized official for Walmart Inc.?
What is the NPI number for Walmart Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-30.