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Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Centennial, CO, holding Type 2 (organization) NPI 1508883885 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1508883885
Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 10900 E BRIARWOOD AVE, Centennial, CO, 80112
Phone 3037069548
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 595 CO

Other identifiers

Identifier Type State Issuer
2003763 Other PK
86526227 Medicaid CO
Copy-ready billing details
Provider: Walmart Inc.
NPI: 1508883885
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 10900 E BRIARWOOD AVE, Centennial, CO, 80112

Providers at this address

NPI Name Type Specialty Location
1053494765 Wal-Mart Stores, Inc. Organization Eyewear Supplier Centennial, CO
1134206964 Smartcare Operations Group, Inc. Organization Clinic/Center Centennial, CO
1326194325 Healthstop Acquisitions, LLC Organization Clinic/Center Centennial, CO
1437712403 Nathan Schoenauer Individual Pharmacist Centennial, CO
1710540570 Mary Aguilera Individual Pharmacist Centennial, CO
1760045306 Shahrukh Joseph Individual Pharmacist Centennial, CO
1588227136 Suneetha Bikkumalla Individual Pharmacist Centennial, CO
1598325540 Michelle Moyn Individual Pharmacist Centennial, CO

Verify this record

Cross-check NPI 1508883885 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

Who is the authorized official for Walmart Inc.?
NPPES lists Kimberly Canonic (Senior Director, Enrollment) as the authorized official for this organization.
What is the NPI number for Walmart Inc.?
The NPI for Walmart Inc. is 1508883885, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-06-19.