Walmart Inc.
Walmart Inc. is a healthcare organization registered as Community/Retail Pharmacy in Omak, WA, holding Type 2 (organization) NPI 1972521631 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972521631 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walmart Inc. |
| Other name | <Unavail> |
| Practice address | 902 ENGH RD, Omak, WA, 98841 |
| Phone | 5098266146 |
| Enumeration date | 2006-07-18 |
| Last updated in NPPES | 2025-06-09 |
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 | CF00004625 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2109448 | Other | — | PK |
| 6013098 | Medicaid | WA | — |
Copy-ready billing details
Provider: Walmart Inc. NPI: 1972521631 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 902 ENGH RD, Omak, WA, 98841
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508979493 | Michael Sirott | Individual | Optometrist | Omak, WA |
| 1437464187 | Wal-Mart Stores Inc | Organization | Eyewear Supplier | Omak, WA |
| 1659618684 | Michael Sirott, Od, Pllc | Organization | Optometrist | Omak, WA |
| 1720496490 | Mathew Phelan | Individual | Pharmacist | Omak, WA |
| 1255740221 | Reid Law | Individual | Pharmacist | Omak, WA |
| 1780159244 | Emily Morris | Individual | Pharmacist | Omak, WA |
| 1619660446 | Tiffany Bello | Individual | Optician | Omak, WA |
Verify this record
Cross-check NPI 1972521631 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 2026-07-11. Provider record last updated 2025-06-09.