Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Windsor Heights, IA, holding Type 2 (organization) NPI 1639196017 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639196017 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 1001 73RD ST, Windsor Heights, IA, 50324 |
| Phone | 5152746359 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-17 |
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 | 424 | IA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79780 | Medicaid | IA | — |
| 2028891 | Other | — | PK |
| 0079780 | Medicaid | IA | — |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1639196017 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1001 73RD ST, Windsor Heights, IA, 50324
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740279470 | Mark L. Bottelson, O.D. and Associates, P.C. | Organization | Optometrist | Windsor Heights, IA |
| 1689859704 | Mark Bottelson | Individual | Optometrist | Windsor Heights, IA |
| 1891021267 | Timothy Strong | Individual | Hearing Instrument Specialist | Windsor Heights, IA |
| 1902421456 | Lisa Walker | Individual | Pharmacist | Des Moines, IA |
| 1619592086 | Vicky Prosser | Individual | Pharmacist | Des Moines, IA |
| 1548885734 | Purva Patel | Individual | Pharmacist | Des Moines, IA |
| 1144056169 | Emma Garcia | Individual | Pharmacist | Windsor Heights, IA |
Verify this record
Cross-check NPI 1639196017 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 2025-06-17.