Walmart Inc.

Community/Retail Pharmacy · Pullman, WA

Organization Active NPI

NPI number 1649587601

Practice location

1690 SE Harvest Dr
Pullman, WA 99163-6000
Phone
(509) 334-2981
Fax
(509) 334-2983

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NPI record

NPI
1649587601
Entity type
Organization (Type 2)
Enumeration date
September 10, 2010
Last updated
June 12, 2025
Certified
June 12, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X PHAR.CF.60449346 WA
Durable Medical Equipment & Medical Supplies 332B00000X — —

Mailing address

702 SW 8TH St.
Bentonville, AR 72716-0445
Phone
(479) 277-1238
Fax
(479) 277-4331

Authorized official

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

Other names

  • WalMart Pharmacy 10-1870

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 1690 SE Harvest Dr, Pullman, WA 99163-6000. The NPI number 1649587601 was assigned on September 10, 2010 and the record was last updated on June 12, 2025.

Walmart Inc. lists a license in the registry: #PHAR.CF.60449346 (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 1649587601.

What is the phone number of Walmart Inc.?

The phone number listed for the practice location is (509) 334-2981.

Where is Walmart Inc. located?

1690 SE Harvest Dr, Pullman, WA 99163-6000.

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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