Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Eden Prairie, MN, holding Type 2 (organization) NPI 1184641565 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184641565 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 12195 SINGLETREE LN, Eden Prairie, MN, 55344 |
| Phone | 9528299030 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-16 |
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 | 260980 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170362500 | Medicaid | MN | — |
| 2046938 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1184641565 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 12195 SINGLETREE LN, Eden Prairie, MN, 55344
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851402689 | Britt Gustafson | Individual | Optometrist | Eden Prairie, MN |
| 1194836353 | Melissa Viker | Individual | Optometrist | Eden Prairie, MN |
| 1972686400 | Wal-Mart Stores, Inc. | Organization | Eyewear Supplier | Eden Prairie, MN |
| 1861544371 | Eye Doctors Inc | Organization | Optometrist | Eden Prairie, MN |
| 1265568448 | Gianna Rigoni | Individual | Pharmacist | Eden Prairie, MN |
| 1568060515 | Ranjani Chandrashekar | Individual | Pharmacist | Eden Prairie, MN |
| 1659979532 | Teresa Welch | Individual | Pharmacist | Eden Prairie, MN |
| 1851999684 | Christine Harris-Boyer | Individual | Pharmacist | Eden Prairie, MN |
Verify this record
Cross-check NPI 1184641565 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 2025-06-16.