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

Walmart Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1194882654

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

Licensed in
AZ
In the registry since
2007
Specialties on file
3
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

14200 W Indian School Rd
Goodyear, AZ 85395-9248
Phone: (623) 935-7578
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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 Y004379 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1194882654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-3604
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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