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Walmart Inc.

Community/Retail Pharmacy in Blackfoot, ID · enumerated 2006 · authorized official Kimberly Canonic, Senior Director, Enrollment.

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

National Provider Identifier

1801813159

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Registry record

Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 565 Jensen Grove Dr, Blackfoot, ID, 83221
Phone (208) 785-0277
Enumeration date Jul 16, 2006
Last updated in NPPES Jun 11, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 871RP (ID) Primary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone (480) 853-0515

Other identifiers

Identifier Type State Issuer
2020962 Other — PK
002142200 Medicaid ID —
2142200 Medicaid ID —

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 1801813159, 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 2025-06-11.