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Walmart Inc.

Walmart Inc. is a healthcare organization registered as Pharmacy in Great Falls, MT, holding Type 2 (organization) NPI 1588109797 since 2016. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1588109797
Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 5320 10TH AVE S, Great Falls, MT, 59405
Phone 4067706070
Fax 4067706081
Enumeration date 2016-12-23
Last updated in NPPES 2025-06-09

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
3336C0003X Community/Retail Pharmacy Secondary
333600000X Pharmacy Primary PHA-PHR-LIC-42910 MT

Other identifiers

Identifier Type State Issuer
2167319 Other PK
Copy-ready billing details
Provider: Walmart Inc.
NPI: 1588109797
Taxonomy: 333600000X (Pharmacy)
Address: 5320 10TH AVE S, Great Falls, MT, 59405

Providers at this address

NPI Name Type Specialty Location
1023413879 Jo Hickey Individual Pharmacist Great Falls, MT
1851837421 Walmart Inc. Organization Eyewear Supplier Great Falls, MT
1972025211 Trent Oliver Individual Pharmacist Great Falls, MT
1023729746 Darci Barsotti Individual Pharmacist Great Falls, MT
1205672938 Kylie Hawkins Individual Optician Great Falls, MT

Verify this record

Cross-check NPI 1588109797 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 2025-06-09. Verify at npiregistry.cms.hhs.gov.
Where is Walmart Inc. located?
The practice location on file with NPPES is in Great Falls, MT.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-09.