Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Forest Lake, MN, holding Type 2 (organization) NPI 1801813290 since 2006. The authorized official on file is Sarah Little, Director of Healthcare Contracting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1801813290 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 200 12TH ST SW, Forest Lake, MN, 55025 |
| Phone | 6514649742 |
| 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 | 261281 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271717400 | Medicaid | MN | — |
| 2047385 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1801813290 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 200 12TH ST SW, Forest Lake, MN, 55025
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003922030 | Roy Backus | Individual | Optometrist | Forest Lake, MN |
| 1922119486 | Richard Bruesch | Individual | Optometrist | Forest Lake, MN |
| 1255412243 | Wal-Mart Stores, Inc. | Organization | Eyewear Supplier | Forest Lake, MN |
| 1912115999 | Dr Richard D Bruesch, PA | Organization | Optometrist | Forest Lake, MN |
| 1831749530 | Kelly Marr | Individual | Pharmacist | Forest Lake, MN |
| 1952909905 | Ashley Augustine | Individual | Pharmacist | Forest Lake, MN |
| 1649878612 | Laura Olson | Individual | Pharmacist | Forest Lake, MN |
| 1871377614 | Daniel Gruetzman | Individual | Pharmacist | Forest Lake, MN |
Verify this record
Cross-check NPI 1801813290 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
Where is Walmart Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-19.