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Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Shawnee, KS, holding Type 2 (organization) NPI 1467479881 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1467479881
Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 11010 W 74TH TER, Shawnee, KS, 66203
Phone 9132684012
Fax 9132684792
Enumeration date 2006-07-16
Last updated in NPPES 2025-06-13

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 2-09928 KS

Other identifiers

Identifier Type State Issuer
200261600A Medicaid KS
2027269 Other PK
Copy-ready billing details
Provider: Walmart Inc.
NPI: 1467479881
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 11010 W 74TH TER, Shawnee, KS, 66203

Providers at this address

NPI Name Type Specialty Location
1720417637 Gracelynn Howard Individual Pharmacist Shawnee, KS
1447669205 Christina Rivera Individual Pharmacist Shawnee, KS
1881094241 Joseph Muroka Individual Pharmacist Shawnee, KS
1275188658 Brandie Holman Individual Pharmacist Shawnee, KS
1376321877 Blake Vorwerk Individual Pharmacist Shawnee, KS
1265319941 Lauren Meizler Individual Pharmacist Shawnee, KS

Verify this record

Cross-check NPI 1467479881 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 2025-06-13. Verify at npiregistry.cms.hhs.gov.
Where is Walmart Inc. located?
The practice location on file with NPPES is in Shawnee, KS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-13.