Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Van Buren, AR, holding Type 2 (organization) NPI 1417974809 since 2006. The authorized official on file is Matthew Mcmullin, Director, Contracting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417974809 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Practice address | 2214 FAYETTEVILLE RD, Van Buren, AR, 72956 |
| Phone | 4794745051 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2023-11-06 |
Authorized official
| Name | Matthew Mcmullin |
|---|---|
| Title | Director, Contracting |
| Phone | 4793718711 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | AR14514 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1994718 | Other | — | PK |
| 112623407 | Medicaid | AR | — |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1417974809 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2214 FAYETTEVILLE RD, Van Buren, AR, 72956
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720161631 | Wal-Mart Stores, Inc. | Organization | Eyewear Supplier | Van Buren, AR |
| 1336750926 | Cassandra Wood | Individual | Optometrist | Van Buren, AR |
| 1710587183 | Melanie Yancey | Individual | Pharmacist | Van Buren, AR |
| 1770183147 | Bich Ngoc Doan | Individual | Pharmacist | Van Buren, AR |
| 1760083273 | Angie Richesin | Individual | Pharmacist | Van Buren, AR |
| 1750982260 | Denny Doss | Individual | Pharmacist | Van Buren, AR |
| 1902511900 | Cassandra Wood, O.D., LLC | Organization | Optometrist | Van Buren, AR |
| 1083499800 | Rebecca Whittington | Individual | Pharmacist | Van Buren, AR |
Verify this record
Cross-check NPI 1417974809 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?
Where is Walmart Inc. located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-06.