Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Rockford, IL, holding Type 2 (organization) NPI 1114944410 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

✓ Active NPI ✓ Valid NPI checksum

NPI	1114944410
Entity type	Organization (Type 2)
Legal business name	Walmart Inc.
Practice address	3902 W RIVERSIDE BLVD, Rockford, IL, 61101
Phone	8159624763
Enumeration date	2006-07-16
Last updated in NPPES	2025-06-13

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	054015468	IL

Other identifiers

Identifier	Type	State	Issuer
2021775	Other	—	PK

Copy-ready billing details

Provider: Walmart Inc.
NPI: 1114944410
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 3902 W RIVERSIDE BLVD, Rockford, IL, 61101

Providers at this address

NPI	Name	Type	Specialty	Location
1063595643	Wal-Mart Stores, Inc	Organization	Eyewear Supplier	Rockford, IL
1639292824	Integrated Homecare Services	Organization	Oxygen Equipment & Supplies (DME)	Rockford, IL
1154676815	Ullmann Eye Care, LLC	Organization	Optometrist	Rockford, IL
1275133605	Nneka Anizoba	Individual	Pharmacist	Rockford, IL
1912502618	Michiao Chai	Individual	Pharmacist	Rockford, IL
1689448177	Rodica Dedu	Individual	Pharmacist	Rockford, IL

Verify this record

Cross-check NPI 1114944410 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 Rockford, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-13. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-13.