Walmart Inc.

Community/Retail Pharmacy · Puyallup, WA

Organization Active NPI

NPI number 1578628541

Practice location

16502 Meridian E
Puyallup, WA 98375-2515
Phone
(253) 446-1754

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NPI record

NPI
1578628541
Entity type
Organization (Type 2)
Enumeration date
December 27, 2006
Last updated
July 2, 2025
Certified
July 2, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X CF00058917 WA
Durable Medical Equipment & Medical Supplies 332B00000X — —

Mailing address

702 SW 8TH Street
Bentonville, AR 72716-0445
Phone
(479) 258-2115

Authorized official

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

Other names

  • Walmart Pharmacy 10-3525

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 16502 Meridian E, Puyallup, WA 98375-2515. The NPI number 1578628541 was assigned on December 27, 2006 and the record was last updated on July 2, 2025.

Walmart Inc. lists a license in the registry: #CF00058917 (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 1578628541.

What is the phone number of Walmart Inc.?

The phone number listed for the practice location is (253) 446-1754.

Where is Walmart Inc. located?

16502 Meridian E, Puyallup, WA 98375-2515.

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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