Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Poway, CA, holding Type 2 (organization) NPI 1295752541 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295752541 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 13425 COMMUNITY RD, Poway, CA, 92064 |
| Phone | 8584861801 |
| Fax | 8584861803 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-19 |
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 | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY38048 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463PHA380480 | Medicaid | CA | — |
| 2002613 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1295752541 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 13425 COMMUNITY RD, Poway, CA, 92064
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073601555 | Walmart Stores, Inc. | Organization | Eyewear Supplier | Poway, CA |
| 1477606135 | Yanina Repkin | Individual | Optometrist | Poway, CA |
| 1306026588 | Firstsight Vision Services, Inc. | Organization | Optometrist | Poway, CA |
| 1366895104 | Walmart | Organization | Pharmacist | Poway, CA |
| 1639622053 | Juliann Tran | Individual | Pharmacist | Poway, CA |
| 1083168330 | Michael Monroe | Individual | Pharmacist | Poway, CA |
| 1831698786 | Suzanne Ketring | Individual | Pharmacist | Poway, CA |
| 1053894295 | Yana Repkin Od A Professional Corporation | Organization | Optometrist | Poway, CA |
Verify this record
Cross-check NPI 1295752541 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 2025-06-19.