NPI age
20 years
Enumerated 2006-07-16
● Active Type 2 · Organization
Walmart Inc.
Walmart Inc. is 1 of 401 community/retail pharmacy (pharmacy) organizations in Idaho.
Primary specialty
Community/Retail Pharmacy (Pharmacy)
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Canonic
Senior Director, Enrollment
Last NPPES update
2025-06-19
Source: CMS NPPES provider record
How this organization compares
Across 401 active community/retail pharmacy (pharmacy) providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 69% of peers with subspecialties
NPI lifetime · 2006 → 2025
2006-07Enumerated in NPPES
2006
2025
Where they practice
Primary practice location
3050 E Mullan Ave
Post Falls, ID 838548939
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Kimberly Canonic
Senior Director, Enrollment
📞 4808530515
Other providers sharing this address
6 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Kathlene Bailey, PHARMD Pharmacist NPI 1184233579
- M George Crawford, RPH Pharmacist NPI 1437558020
- Ryan Gibson Pharmacist NPI 1194353805
- Joseph McGinnis, OD Optometrist NPI 1093819500
- Marissa Tarbet Pharmacist NPI 1689073892
- Laurie Williams Pharmacist NPI 1609275320
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806290400 | |
| 01 | 2021859 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walmart Pharmacy 10-3472
Practice context
Shared NPPES address. 6 individual providers use this primary address. This does not prove employment or affiliation.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.