Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in San Jose, CA, holding Type 2 (organization) NPI 1164449393 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164449393 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 777 STORY RD, San Jose, CA, 95122 |
| Phone | 4088851760 |
| Fax | 4088851877 |
| 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 | PHY46854 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463PHA468540 | Medicaid | CA | — |
| 2112942 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1164449393 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 777 STORY RD, San Jose, CA, 95122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699851006 | Wal-Mart Stores, Inc. | Organization | Eyewear Supplier | San Jose, CA |
| 1710002340 | Vuong Anh Nguyen | Individual | Optometrist | San Jose, CA |
| 1215118690 | Firstsight Vision Services, Inc. | Organization | Optometrist | San Jose, CA |
| 1306245832 | Tung Nguyen | Individual | Pharmacist | San Jose, CA |
| 1821498072 | Richie Thu Le | Individual | Pharmacist | San Jose, CA |
| 1043610223 | May Chow | Individual | Pharmacist | San Jose, CA |
| 1104294602 | Alexander Truong | Individual | Pharmacist | San Jose, CA |
| 1174073068 | Tran Nguyen | Individual | Pharmacist | San Jose, CA |
Verify this record
Cross-check NPI 1164449393 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 2025-06-13.