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Walmart Inc.

Community/Retail Pharmacy in Yucca Valley, CA · enumerated 2006 · authorized official Kimberly Canonic, Senior Director, Enrollment.

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

National Provider Identifier

1760409189

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Registry record

Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 58501 29 Palms Hwy, Yucca Valley, CA, 92284
Phone (760) 365-7551
Fax (760) 365-6932
Enumeration date Jul 16, 2006
Last updated in NPPES Jun 10, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHY39039 (CA) Primary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone (480) 277-6348

Other identifiers

Identifier Type State Issuer
2047823 Other — PK
463PHA390390 Medicaid CA —

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.

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Frequently asked questions

Who is the authorized official for Walmart Inc.?
NPPES lists Kimberly Canonic (Senior Director, Enrollment) as the authorized official for this organization.
What is the NPI number for Walmart Inc.?
The NPI for Walmart Inc. is 1760409189, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-10.