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Walmart Inc.

Community/Retail Pharmacy in Caldwell, ID · enumerated 2016 · authorized official Kimberly Canonic, Senior Director, Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093163990

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Walmart Inc.
Practice address 622 W Ustick Rd, Caldwell, ID, 83605
Fax (208) 453-8985
Enumeration date Jun 1, 2016
Last updated in NPPES Jun 10, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 42854RP (ID) Primary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment

Other identifiers

Identifier Type State Issuer
2160484 Other - PK
1093163990 Medicaid ID -

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.

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Frequently asked questions

What is the NPI number for Walmart Inc.?
The NPI for Walmart Inc. is 1093163990, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Walmart Inc.?
NPPES lists Kimberly Canonic (Senior Director, Enrollment) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-10.