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Walmart Inc

Pharmacy in Warrenton, OR · enumerated 2018 · authorized official Kimberly Canonic, Senior Director, Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710489406

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Walmart Inc
Practice address 1791 Ensign Lane Se, Warrenton, OR, 97146
Fax (503) 861-0897
Enumeration date Mar 8, 2018
Last updated in NPPES Jun 12, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License RP-0003387 (OR) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment

Other identifiers

Identifier Type State Issuer
500745490 Medicaid OR -
2103875 Medicaid WA -
2176573 Other - PK

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 → Validate an NPI →

Frequently asked questions

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.
What type of organization is Walmart Inc?
Walmart Inc is registered in NPPES as a Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-12.