NPI Portal NPI Lookup & Verification

Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Pullman, WA, holding Type 2 (organization) NPI 1649587601 since 2010. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1649587601
Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 1690 SE HARVEST DR, Pullman, WA, 99163
Phone 5093342981
Fax 5093342983
Enumeration date 2010-09-10
Last updated in NPPES 2025-06-12

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
3336C0003X Community/Retail Pharmacy Primary PHAR.CF.60449346 WA

Other identifiers

Identifier Type State Issuer
1649587601 Medicaid ID
1649587601 Medicaid WA
2126650 Other PK
Copy-ready billing details
Provider: Walmart Inc.
NPI: 1649587601
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1690 SE HARVEST DR, Pullman, WA, 99163

Providers at this address

NPI Name Type Specialty Location
1972856888 Aero Eye Care, Pllc Organization Optometrist Pullman, WA
1992113500 Fouzia Armstrong Individual Pharmacist Pullman, WA
1568854859 Justin Ross Individual Pharmacist Pullman, WA
1174065783 Eye and Wellness, LLC Organization Optometrist Pullman, WA
1336750835 John Odumah Individual Pharmacist Pullman, WA
1134845704 Donald Sachs Individual Pharmacist Pullman, WA

Verify this record

Cross-check NPI 1649587601 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

What type of organization is Walmart Inc.?
Walmart Inc. is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-12.