Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-6480
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
3460 W CHANDLER BLVD, CHANDLER, AZ 85226-5065
(480) 333-2656
(480) 333-2650
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y006104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149824
PK
—
05
—
989400
—
AZ
Enumeration date
01/22/2015
Last updated
06/09/2025
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