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 1255358503

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
4
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

500 S Utah Ave
Idaho Falls, ID 83402-3305
Phone: (208) 528-8703
Fax: (208) 528-8695
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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 1918RP (ID)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1255358503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5494; Walmart Pharmacy 10-5494
NPI enumeratedJuly 16, 2006
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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