Walmart Inc.
Community/Retail Pharmacy · Kankakee, IL
Practice location
505 Riverstone PkwyKankakee, IL 60901-7207
- Phone
- (815) 802-3166
NPI record
- NPI
- 1386826014
- Entity type
- Organization (Type 2)
- Enumeration date
- December 5, 2007
- Last updated
- July 9, 2025
- Certified
- July 9, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
054016412 | IL |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
Mailing address
702 SW 8TH StBentonville, AR 72716-0445
Authorized official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 853-0515
Other names
- Walmart Pharmacy 10-4323
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 505 Riverstone Pkwy, Kankakee, IL 60901-7207. The NPI number 1386826014 was assigned on December 5, 2007 and the record was last updated on July 9, 2025.
Walmart Inc. lists a license in the registry: #054016412 (IL) 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 1386826014.
What is the phone number of Walmart Inc.?
The phone number listed for the practice location is (815) 802-3166.
Where is Walmart Inc. located?
505 Riverstone Pkwy, Kankakee, IL 60901-7207.
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.
Other Community/Retail Pharmacy providers in Kankakee
- American Drug Stores LLC446 S Washington Ave
- St Marys Hospital - Kankakee LLC555 W Court St Ste 101
- Kankakee Area Pharmacy Inc555 W Court St
- Walmart505 Riverstone Pkwy
- Medcentre Pharmacy555 W Court St