Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

436 Issued in CO

Legal business name

WALMART INC.

Practice address

9400 E Hampden Ave
Denver, CO 80231-5414

Phone

(720) 748-1700

NPI assigned

Jul 16, 2006

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) 277-6348

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• WALMART PHARMACY 10-3566 Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO2 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
  • Westminster, CO
  • NPI 1568525343
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Longmont, CO
  • NPI 1467534958
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Brighton, CO
  • NPI 1467537035
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Pueblo, CO
  • NPI 1508948241
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Thornton, CO
  • NPI 1558446120
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Colorado Springs, CO
  • NPI 1558447953
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • La Junta, CO
  • NPI 1568544211
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Optician
  • Timnath, CO
  • NPI 1568604551
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Commerce City, CO
  • NPI 1447277728
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Littleton, CO
  • NPI 1467479725
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Loveland, CO
  • NPI 1477570737
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Sterling, CO
  • NPI 1487671749
  NPD tax ID

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1528085800",
    "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": "727160445",
            "telephone_number": "479-277-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315414",
            "telephone_number": "720-748-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "CANONIC",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, ENROLLMENT",
        "authorized_official_telephone_number": "480-277-6348"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "436",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2003463",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29083371",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WALMART PHARMACY 10-3566",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard David Wallis, PMHNP
• Andrew Thomas Walls, MA, LPC
• Taylor Rose Walls
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Marcia Lynn Walsh-Aziz, SLP
• Ashley Elizabeth Walsh, IBCLC
• Bridget M Walsh, MD

• All providers in Denver, CO
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.