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Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Lafayette, CO, holding Type 2 (organization) NPI 1194742452 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1194742452
Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 745 N US HIGHWAY 287, Lafayette, CO, 80026
Phone 3036660434
Enumeration date 2006-07-16
Last updated in NPPES 2025-06-04

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone 4802776348

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary 700000002 CO

Other identifiers

Identifier Type State Issuer
2001853 Other PK
3007028 Medicaid CO
03007028 Medicaid CO
Copy-ready billing details
Provider: Walmart Inc.
NPI: 1194742452
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 745 N US HIGHWAY 287, Lafayette, CO, 80026

Providers at this address

NPI Name Type Specialty Location
1336602861 Hyesung Yim Individual Pharmacist Lafayette, CO
1053874511 Melissa Kobs Individual Pharmacist Lafayette, CO
1790348860 Sejal Patel Individual Pharmacist Lafayette, CO
1144963463 Abubakr Ragab Individual Pharmacist Lafayette, CO

Verify this record

Cross-check NPI 1194742452 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 Lafayette, CO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-04. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-04.