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Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Jerome, ID, holding Type 2 (organization) NPI 1700803053 since 2006. The authorized official on file is Sarah Little, Director of Healthcare Contracting.

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NPI 1700803053
Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 2680 S LINCOLN AVE, Jerome, ID, 83338
Phone 2083244700
Enumeration date 2006-07-16
Last updated in NPPES 2025-09-19

Authorized official

Name Sarah Little
Title Director of Healthcare Contracting
Phone 4792772500

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary 1525RP ID

Other identifiers

Identifier Type State Issuer
187429 Medicaid ID
2021744 Other PK
805856000 Medicaid ID
Copy-ready billing details
Provider: Walmart Inc.
NPI: 1700803053
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 2680 S LINCOLN AVE, Jerome, ID, 83338

Providers at this address

NPI Name Type Specialty Location
1194838375 Jon Heitzman Individual Optometrist Jerome, ID
1053401299 Wal-Mart Stores, Inc Organization Eyewear Supplier Jerome, ID
1639586761 Peter Gibbons Individual Pharmacist Jerome, ID
1790231355 Lexa Balling Individual Pharmacist Jerome, ID
1215539648 Jacob Schimpf Individual Pharmacist Jerome, ID
1164201554 Charles Barnes Individual Pharmacist Jerome, ID

Verify this record

Cross-check NPI 1700803053 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 2025-09-19. Verify at npiregistry.cms.hhs.gov.
Where is Walmart Inc. located?
The practice location on file with NPPES is in Jerome, ID.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-09-19.