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 1669491643

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

Licensed in
AR
In the registry since
2006
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

909 SE J St Ste 5
Bentonville, AR 72712-2894
Phone: (479) 418-0751
Fax: (479) 418-0750
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence AR18081 (AR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1669491643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-2203
NPI enumeratedJuly 19, 2006
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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