Walmart Inc.
Community/Retail Pharmacy · Decorah, IA
Practice location
1798 Old Stage RdDecorah, IA 52101-7497
- Phone
- (563) 382-8456
- Fax
- (563) 382-8654
NPI record
- NPI
- 1669499042
- Entity type
- Organization (Type 2)
- Enumeration date
- July 16, 2006
- Last updated
- June 4, 2025
- Certified
- June 4, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
862 | IA |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Pharmacy | 333600000X |
— | — |
Mailing address
702 SW 8TH StBentonville, AR 72716-0445
- Phone
- (479) 277-2500
- Fax
- (479) 277-4331
Authorized official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Other names
- Walmart Pharmacy 10-0913
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 1798 Old Stage Rd, Decorah, IA 52101-7497. The NPI number 1669499042 was assigned on July 16, 2006 and the record was last updated on June 4, 2025.
Walmart Inc. lists a license in the registry: #862 (IA) 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 1669499042.
What is the phone number of Walmart Inc.?
The phone number listed for the practice location is (563) 382-8456.
Where is Walmart Inc. located?
1798 Old Stage Rd, Decorah, IA 52101-7497.
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.
Other Community/Retail Pharmacy providers in Decorah
- Winneshiek Medical Center901 Montgomery St Ste a
- McKone-Burks Inc702 Montgomery St
- White Drug Enterprises Inc702 Montgomery St