Walmart Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y007255 Issued in AZ

Legal business name

WALMART INC.

Practice address

9600 N Metro Pkwy W
Phoenix, AZ 85051-1402

Phone

(480) 337-0256

Fax

(480) 337-0257

NPI assigned

Apr 26, 2017

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 3

Addresses

Other identifiers 2

Other names 1

• Walmart Pharmacy 10-6477 Other name

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.

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
  • Prescott, AZ
  • NPI 1891871091
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Apache Junction, AZ
  • NPI 1891875233
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Nogales, AZ
  • NPI 1922188358
  NPD tax ID
• Wal-Mart Stores, Inc.

  • Eyewear Supplier
  • Queen Creek, AZ
  • NPI 1982879748
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1881611002
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Kingman, AZ
  • NPI 1881611093
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1881613867
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Tempe, AZ
  • NPI 1881824183
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Show Low, AZ
  • NPI 1891712006
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1891712014
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Peoria, AZ
  • NPI 1912181942
  NPD tax ID
• Walmart Inc.

  • Community/Retail Pharmacy
  • Chandler, AZ
  • NPI 1912396375
  NPD tax ID

Locations

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1922533082",
    "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": "479-258-2115",
            "fax_number": "479-277-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 N METRO PKWY W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511402",
            "telephone_number": "480-337-0256",
            "fax_number": "480-337-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "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": "AZ",
            "license": "Y007255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169705",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331178",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walmart Pharmacy 10-6477",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Stores, Inc.
• Walmart Stores, Inc.
• Walmart Stores, Inc.
• Walmart Stores, Inc.

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, 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 Jun 9, 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.