Walmart Inc.
Community/Retail Pharmacy · Springfield, IL
Practice location
1100 Lejune DrSpringfield, IL 62703-4537
- Phone
- (217) 529-6221
NPI record
- NPI
- 1649432782
- Entity type
- Organization (Type 2)
- Enumeration date
- June 30, 2008
- Last updated
- July 2, 2025
- Certified
- July 2, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
054016464 | IL |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
Mailing address
702 SW 8TH StBentonville, AR 72716-0445
- Phone
- (479) 277-1242
- Fax
- (479) 277-4331
Authorized official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
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 1100 Lejune Dr, Springfield, IL 62703-4537. The NPI number 1649432782 was assigned on June 30, 2008 and the record was last updated on July 2, 2025.
Walmart Inc. lists a license in the registry: #054016464 (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 1649432782.
What is the phone number of Walmart Inc.?
The phone number listed for the practice location is (217) 529-6221.
Where is Walmart Inc. located?
1100 Lejune Dr, Springfield, IL 62703-4537.
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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