Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-1151
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
10824 PARALLEL PKWY, KANSAS CITY, KS 66109-3649
(913) 788-3202
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10271
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100433330A
—
KS
01
—
2032420
PK
—
05
—
6010831816
—
KS
Enumeration date
07/16/2006
Last updated
06/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us