Walmart Inc.

Community/Retail Pharmacy · Salem, OR

Organization Active NPI

NPI number 1407873540

Practice location

3025 Lancaster Dr NE
Salem, OR 97305-1348
Phone
(503) 378-7720

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NPI record

NPI
1407873540
Entity type
Organization (Type 2)
Enumeration date
July 16, 2006
Last updated
June 17, 2025
Certified
June 17, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 0001231CS OR
Durable Medical Equipment & Medical Supplies 332B00000X — —
Pharmacy 333600000X — —

Mailing address

702 SW 8TH St
Bentonville, AR 72716-0445

Authorized official

Name
Kimberly Canonic
Title
Senior Director, Enrollment
Phone
(480) 853-0515

Other names

  • Walmart Pharmacy 10-1784

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 3025 Lancaster Dr NE, Salem, OR 97305-1348. The NPI number 1407873540 was assigned on July 16, 2006 and the record was last updated on June 17, 2025.

Walmart Inc. lists a license in the registry: #0001231CS (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 Kimberly Canonic, Senior Director, Enrollment.

Frequently asked questions

What is the NPI number of Walmart Inc.?

The NPI number is 1407873540.

What is the phone number of Walmart Inc.?

The phone number listed for the practice location is (503) 378-7720.

Where is Walmart Inc. located?

3025 Lancaster Dr NE, Salem, OR 97305-1348.

What is the taxonomy code for Walmart Inc.?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 2 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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