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 1578945952

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
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

14505 NE Fourth Plain Blvd
Vancouver, WA 98682-5003
Phone: (360) 258-2653
Fax: (360) 258-2652
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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 PHAR.CF.60581870 (WA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1578945952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5461
NPI enumeratedJune 23, 2015
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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