Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005325 Issued in AZ

Legal business name

WALMART INC.

Practice address

5137 W Olive Ave
Glendale, AZ 85302-4204

Phone

(623) 939-4252

NPI assigned

Oct 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Canonic

Title

Senior Director Enrollment

Phone

(480) 853-0515

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WalMart Pharmacy 10-3844 Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Ability Network2,173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Wal-Mart Stores Inc

  • Eyewear Supplier
  • Chandler, AZ
  • NPI 1538558994
  NPD tax ID
• Wal-Mart Stores, Inc

  • Eyewear Supplier
  • Prescott Valley, AZ
  • NPI 1487082665
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Coolidge, AZ
  • NPI 1457437865
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Safford, AZ
  • NPI 1518056845
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Nogales, AZ
  • NPI 1437176641
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1437176658
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1437176807
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1437327228
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Cave Creek, AZ
  • NPI 1467749770
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Taylor, AZ
  • NPI 1467817007
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1487672341
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1508883729
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yumiko Inoue, PHARM D

  • Pharmacist
  • Glendale, AZ
  • NPI 1497949309
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1487954152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727166209",
            "telephone_number": "479-277-1238",
            "fax_number": "479-277-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5137 W OLIVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024204",
            "telephone_number": "623-939-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "CANONIC",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR ENROLLMENT",
        "authorized_official_telephone_number": "480-853-0515"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127444",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588160",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WalMart Pharmacy 10-3844",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mike Thomas Wallace, L.P.C.
• Laura Marie Waller, MA.,SLT,M-ED
• Elizabeth Robyn Wallmann, D.D.S.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.

• Community/Retail Pharmacy in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.