Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Bend, OR, holding Type 2 (organization) NPI 1881611937 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1881611937 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 20120 PINEBROOK BLVD, Bend, OR, 97702 |
| Phone | 5413895440 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-05 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4802776348 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 0001389CS | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129804 | Medicaid | OR | — |
| 2078386 | Other | — | PK |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1881611937 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 20120 PINEBROOK BLVD, Bend, OR, 97702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457398315 | National Vision, Inc. | Organization | Eyewear Supplier | Bend, OR |
| 1932299526 | Toni Decker | Individual | Optometrist | Bend, OR |
| 1235210691 | Wal-Mart Stores, Inc. | Organization | Eyewear Supplier | Bend, OR |
| 1518268234 | Keith Daugherty | Individual | Pharmacist | Bend, OR |
| 1639411937 | Wal-Mart Stores, Inc. | Organization | Community/Retail Pharmacy | Bend, OR |
| 1053749937 | Eyes in Motion | Organization | Optometrist | Bend, OR |
| 1073920955 | Tedd Marceau | Individual | Pharmacist | Bend, OR |
| 1386003622 | Susie Nosler | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Bend, OR |
Verify this record
Cross-check NPI 1881611937 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
What type of organization is Walmart Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-06-05.