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Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Dekalb, IL, holding Type 2 (organization) NPI 1356368617 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1356368617
Entity type Organization (Type 2)
Legal business name Walmart Inc.
Practice address 2300 SYCAMORE RD, Dekalb, IL, 60115
Phone 8157586284
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 054008735 IL

Other identifiers

Identifier Type State Issuer
2018712 Other PK
Copy-ready billing details
Provider: Walmart Inc.
NPI: 1356368617
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 2300 SYCAMORE RD, Dekalb, IL, 60115

Providers at this address

NPI Name Type Specialty Location
1477563161 Adams Family Eyecare, PC Organization Optometrist Dekalb, IL
1366523854 Wal-Mart Stores, Inc Organization Eyewear Supplier Dekalb, IL
1295074425 Wink Eyecare PC Organization Optometrist Dekalb, IL
1326648551 Sudha Veerapaneni Individual Pharmacist Dekalb, IL
1326649260 Joel Janyia Individual Pharmacist Dekalb, IL

Verify this record

Cross-check NPI 1356368617 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

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.
Where is Walmart Inc. located?
The practice location on file with NPPES is in Dekalb, IL.

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