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 1902121700

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

Licensed in
CO
In the registry since
2010
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

4651 W 121st Ave
Broomfield, CO 80020-5662
Phone: (720) 887-8453
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 798 (CO)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1902121700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4288; Walmart Pharmacy 10-4288
NPI enumeratedApril 5, 2010
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address702 Sw 8th St, Mail Stop 0445, Bentonville, AR 72716-0445

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