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Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Augusta, KS, holding Type 2 (organization) NPI 1912924317 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1912924317
Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 719 W 7TH AVE, Augusta, KS, 67010
Phone 3167751168
Enumeration date 2006-07-16
Last updated in NPPES 2025-05-30

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 2-10451 KS

Other identifiers

Identifier Type State Issuer
6010831805 Medicaid KS
100432920A Medicaid KS
2025536 Other PK
Copy-ready billing details
Provider: Walmart Inc.
NPI: 1912924317
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 719 W 7TH AVE, Augusta, KS, 67010

Providers at this address

NPI Name Type Specialty Location
1063880375 Wal-Mart Stores, Inc. Organization Eyewear Supplier Augusta, KS
1316480270 Mark Nola Individual Pharmacist Augusta, KS
1861206914 Stephanie Fellows Individual Pharmacist Augusta, KS

Verify this record

Cross-check NPI 1912924317 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-30. Verify at npiregistry.cms.hhs.gov.
Where is Walmart Inc. located?
The practice location on file with NPPES is in Augusta, KS.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-05-30.