Walmart Inc.

Community/Retail Pharmacy · Beaverton, OR

Organization Active NPI

NPI number 1396010674

Practice location

17275 NW Cornell Rd
Beaverton, OR 97006-3297
Phone
(503) 207-7632

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NPI record

NPI
1396010674
Entity type
Organization (Type 2)
Enumeration date
March 20, 2012
Last updated
September 19, 2025
Certified
August 30, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X RP-0002708-CS OR
Durable Medical Equipment & Medical Supplies 332B00000X — —

Mailing address

702 SW 8TH St
Bentonville, AR 72716
Phone
(479) 277-1238
Fax
(479) 277-4331

Authorized official

Name
Sarah Little
Title
Director of Healthcare Contracting
Phone
(479) 277-2500

Other names

  • WalMart Pharmacy 10-5993
  • WalMart Pharmacy 10-5993

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 17275 NW Cornell Rd, Beaverton, OR 97006-3297. The NPI number 1396010674 was assigned on March 20, 2012 and the record was last updated on September 19, 2025.

Walmart Inc. lists a license in the registry: #RP-0002708-CS (OR) 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 Sarah Little, Director of Healthcare Contracting.

Frequently asked questions

What is the NPI number of Walmart Inc.?

The NPI number is 1396010674.

What is the phone number of Walmart Inc.?

The phone number listed for the practice location is (503) 207-7632.

Where is Walmart Inc. located?

17275 NW Cornell Rd, Beaverton, OR 97006-3297.

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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