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 1730493834

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Hayden, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
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

550 W Honeysuckle Ave
Hayden, ID 83835-6042
Phone: (208) 209-4081
Fax: (208) 209-4057
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 14644RP (ID)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1730493834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-3511
NPI enumeratedJuly 30, 2010
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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