Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Anna, IL, holding Type 2 (organization) NPI 1629095989 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

✓ Active NPI ✓ Valid NPI checksum

NPI	1629095989
Entity type	Organization (Type 2)
Legal business name	Walmart Inc.
Practice address	300 LEIGH AVE, Anna, IL, 62906
Phone	6188338580
Enumeration date	2006-07-16
Last updated in NPPES	2025-05-29

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	054008649	IL

Other identifiers

Identifier	Type	State	Issuer
2018609	Other	—	PK

Copy-ready billing details

Provider: Walmart Inc.
NPI: 1629095989
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 300 LEIGH AVE, Anna, IL, 62906

Providers at this address

NPI	Name	Type	Specialty	Location
1306222658	Candice Faller	Individual	Pharmacist	Anna, IL
1750824744	Jaron Torbeck	Individual	Pharmacist	Anna, IL
1710587175	Shane Peck	Individual	Pharmacist	Anna, IL
1508466111	John Dunbar	Individual	Pharmacist	Anna, IL

Verify this record

Cross-check NPI 1629095989 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 2025-05-29. Verify at npiregistry.cms.hhs.gov.

Where is Walmart Inc. located?

The practice location on file with NPPES is in Anna, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-05-29.