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Walmart Inc.

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

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

National Provider Identifier

1871510974

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Registry record

Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 12850 L St, Omaha, NE, 68137
Phone (402) 697-1742
Enumeration date Jul 16, 2006
Last updated in NPPES Jun 13, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 2613 (NE) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
10025156700 Medicaid NE —
2055807 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.

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Frequently asked questions

Where is Walmart Inc. located?
The practice location on file with NPPES is in Omaha, NE.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-13. Verify at npiregistry.cms.hhs.gov.

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