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 1396010674

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
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

17275 NW Cornell Rd
Beaverton, OR 97006-3297
Phone: (503) 207-7632
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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 RP-0002708-CS (OR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1396010674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Little — Director Of Healthcare Contracting · (479) 277-2500
Other names Walmart Pharmacy 10-5993; Walmart Pharmacy 10-5993
NPI enumeratedMarch 20, 2012
Last updated in NPPESSeptember 19, 2025
Certification dateAugust 30, 2023
Mailing address702 Sw 8th St, Bentonville, AR 72716

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