Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Burley, ID, holding Type 2 (organization) NPI 1184641433 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184641433 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 385 N OVERLAND AVE, Burley, ID, 83318 |
| Phone | 2086774804 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-11 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4808530515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 872RP | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002142000 | Medicaid | ID | — |
| 2020960 | Other | — | PK |
| 21420000 | Medicaid | ID | — |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1184641433 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 385 N OVERLAND AVE, Burley, ID, 83318
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1760564967 | Wal-Mart Stores, Inc | Organization | Eyewear Supplier | Burley, ID |
| 1578635967 | Carrie Williams | Individual | Optometrist | Burley, ID |
| 1568797645 | Daniel Brauner | Individual | Optometrist | Burley, ID |
| 1740506088 | Eric Andersen | Individual | Pharmacist | Burley, ID |
| 1821407362 | Deb Phillips | Individual | Pharmacist | Burley, ID |
| 1205220589 | Trevor Dschaak | Individual | Pharmacist | Burley, ID |
| 1487198693 | Taylor Davis | Individual | Pharmacist | Burley, ID |
| 1528612140 | Trinity Vision Center Pllc | Organization | Optometrist | Burley, ID |
Verify this record
Cross-check NPI 1184641433 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 2026-07-11. Provider record last updated 2025-06-11.