Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Mesa, AZ, holding Type 2 (organization) NPI 1700941754 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700941754 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 240 W BASELINE RD, Mesa, AZ, 85210 |
| Phone | 4806689512 |
| Enumeration date | 2006-12-27 |
| Last updated in NPPES | 2025-07-08 |
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 | Primary | Y004680 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183560 | Medicaid | AZ | — |
| 1992507 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1700941754 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 240 W BASELINE RD, Mesa, AZ, 85210
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023171139 | Wal-Mart Stores, Inc. | Organization | Eyewear Supplier | Mesa, AZ |
| 1851568083 | Barry S Herndon Od Pllc | Organization | Optometrist | Mesa, AZ |
| 1538503230 | Nicole Flynn | Individual | Pharmacist | Mesa, AZ |
| 1518380906 | Pranjali Malge | Individual | Pharmacist | Mesa, AZ |
| 1740654722 | Franz Jungblut | Individual | Pharmacist | Mesa, AZ |
| 1467002766 | Tan Tien | Individual | Pharmacist | Mesa, AZ |
| 1063174191 | Antony Kibet | Individual | Pharmacist | Mesa, AZ |
| 1174320238 | Jonathan Hernandez | Individual | Optician | Mesa, AZ |
Verify this record
Cross-check NPI 1700941754 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 is a Type 2 NPI?
What type of organization is Walmart Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-08.