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 1407251770

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Riverton, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014
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

1202 W 12600 S
Riverton, UT 84065-7094
Phone: (479) 258-2115
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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 9207703-1703 (UT)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1407251770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-7043
NPI enumeratedOctober 29, 2014
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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