Walmart Inc.

Community/Retail Pharmacy · Puyallup, WA

Organization Active NPI

NPI number 1912924036

Practice location

310 31st Ave SE
Puyallup, WA 98374-1232
Phone
(253) 770-9889

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NPI record

NPI
1912924036
Entity type
Organization (Type 2)
Enumeration date
July 16, 2006
Last updated
May 30, 2025
Certified
May 30, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X CF00005211 WA
Durable Medical Equipment & Medical Supplies 332B00000X — —
Pharmacy 333600000X — —

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) 277-6348

Other names

  • Walmart Pharmacy 10-2403

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 310 31st Ave SE, Puyallup, WA 98374-1232. The NPI number 1912924036 was assigned on July 16, 2006 and the record was last updated on May 30, 2025.

Walmart Inc. lists a license in the registry: #CF00005211 (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 1912924036.

What is the phone number of Walmart Inc.?

The phone number listed for the practice location is (253) 770-9889.

Where is Walmart Inc. located?

310 31st Ave SE, Puyallup, WA 98374-1232.

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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