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 1649635459

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

Licensed in
AR
In the registry since
2015
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

660 W Martin Luther King Blvd
Fayetteville, AR 72701-6443
Phone: (479) 435-2008
Fax: (479) 435-2006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence AR20838 (AR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1649635459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4516
NPI enumeratedDecember 21, 2015
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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