Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walmart Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1114129392

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Yelm, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17100 State Route 507 SE
Yelm, WA 98597-7605
Phone: (360) 400-8062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence CF00059080 (WA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1114129392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-3705
NPI enumeratedJune 1, 2007
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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