Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Le Mars, IA, holding Type 2 (organization) NPI 1285651661 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1285651661 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 1111 HOLTON DR, Le Mars, IA, 51031 |
| Phone | 7125465150 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-07-11 |
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 | 31 | IA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068692 | Medicaid | IA | — |
| 68692 | Medicaid | IA | — |
| 2028431 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1285651661 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1111 HOLTON DR, Le Mars, IA, 51031
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083716070 | Rebecca Deruyter | Individual | Optometrist | Le Mars, IA |
| 1922189059 | Wal-Mart Stores, Inc. | Organization | Eyewear Supplier | Le Mars, IA |
| 1922319888 | Advanced Eye Health | Organization | Optometrist | Le Mars, IA |
| 1740876432 | Rick Habeck | Individual | Pharmacist | Le Mars, IA |
| 1124610522 | Larissa Miller | Individual | Pharmacist | Le Mars, IA |
Verify this record
Cross-check NPI 1285651661 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 2025-07-11.