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 1689912594

Walmart Inc is a Durable Medical Equipment & Medical Supplies in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2013.

Licensed in
UT
In the registry since
2013
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

3590 W South Jordan Pkwy
South Jordan, UT 84095-8916
Phone: (801) 601-3119
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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 8528037-1703 (UT)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1689912594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5763
NPI enumeratedJanuary 28, 2013
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716

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