Walmart Inc.

Community/Retail Pharmacy · Everett, WA

Organization Active NPI

NPI number 1295148047

Practice location

1605 SE Everett Mall Way
Everett, WA 98208-2838
Phone
(425) 789-3364
Fax
(425) 789-3365

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NPI record

NPI
1295148047
Entity type
Organization (Type 2)
Enumeration date
June 10, 2014
Last updated
June 5, 2025
Certified
June 5, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X PHAR.CF.60476147 WA
Durable Medical Equipment & Medical Supplies 332B00000X — —

Mailing address

702 SW 8TH St
Bentonville, AR 72716-0445
Phone
(479) 258-2115
Fax
(479) 277-4331

Authorized official

Name
Kimberly Canonic
Title
Senior Director, Enrollment
Phone
(480) 277-6348

Other names

  • Walmart Pharmacy 10-3053

About Walmart Inc.

Walmart Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 1605 SE Everett Mall Way, Everett, WA 98208-2838. The NPI number 1295148047 was assigned on June 10, 2014 and the record was last updated on June 5, 2025.

Walmart Inc. lists a license in the registry: #PHAR.CF.60476147 (WA) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Kimberly Canonic, Senior Director, Enrollment.

Frequently asked questions

What is the NPI number of Walmart Inc.?

The NPI number is 1295148047.

What is the phone number of Walmart Inc.?

The phone number listed for the practice location is (425) 789-3364.

Where is Walmart Inc. located?

1605 SE Everett Mall Way, Everett, WA 98208-2838.

What is the taxonomy code for Walmart Inc.?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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