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Walmart Inc.

Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Clinton, AR, holding Type 2 (organization) NPI 1972520369 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1972520369
Entity type Organization (Type 2)
Legal business name Walmart Inc.
Other name <Unavail>
Practice address 1966 HIGHWAY 65 S, Clinton, AR, 72031
Phone 5017452888
Fax 5017452561
Enumeration date 2006-07-16
Last updated in NPPES 2025-06-04

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 AR14095 AR

Other identifiers

Identifier Type State Issuer
111192407 Medicaid AR
1994552 Other PK
Copy-ready billing details
Provider: Walmart Inc.
NPI: 1972520369
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1966 HIGHWAY 65 S, Clinton, AR, 72031

Providers at this address

NPI Name Type Specialty Location
1346322856 Wal-Mart Stores, Inc. Organization Eyewear Supplier Clinton, AR
1760792220 Jodi Davis Individual Pharmacist Clinton, AR
1952901423 Julie Boxnick Individual Pharmacist Clinton, AR
1609476720 Whitney Holland Individual Pharmacist Clinton, AR
1770183568 Andrea Brown Individual Pharmacist Clinton, AR
1245831858 Kirbi Mcmullin Individual Pharmacist Clinton, AR
1225624000 Tommy Shaw Individual Pharmacist Clinton, AR
1588401467 Danielle Prince Individual Pharmacist Clinton, AR

Verify this record

Cross-check NPI 1972520369 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

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 1972520369, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-04.