Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Modesto, CA, holding Type 2 (organization) NPI 1225287352 since 2008. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1225287352 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 3848 MCHENRY AVE, Modesto, CA, 95356 |
| Phone | 2093420960 |
| Fax | 2093420962 |
| Enumeration date | 2008-09-12 |
| Last updated in NPPES | 2025-09-29 |
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 | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY49198 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225287352 | Medicaid | CA | — |
| 2117280 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1225287352 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3848 MCHENRY AVE, Modesto, CA, 95356
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053720110 | Lowell Taylor | Individual | Pharmacist | Modesto, CA |
| 1215338173 | George Yousip | Individual | Pharmacist | Modesto, CA |
| 1396256947 | Nga Nguyen | Individual | Pharmacist | Modesto, CA |
| 1629569645 | Arshdeep Dhillon | Individual | Pharmacist | Modesto, CA |
| 1558855759 | Renee George | Individual | Pharmacist | Modesto, CA |
| 1760192223 | Chao Thao | Individual | Pharmacist | Modesto, CA |
| 1871372888 | Jennifer Martinez | Individual | Driver | Modesto, CA |
| 1063247559 | Vineet Gangadharan | Individual | Dentist | Modesto, CA |
Verify this record
Cross-check NPI 1225287352 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 is a Type 2 NPI?
What type of organization is Walmart Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-29.