NPI age
15 years
Enumerated 2010-07-30
● Active Type 2 · Organization
Walmart Inc.
Walmart Inc. is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Canonic
Senior Director, Enrollment
Last NPPES update
2025-07-01
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 70% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
550 W Honeysuckle Ave
Hayden, ID 838356042
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Kimberly Canonic
Senior Director, Enrollment
📞 4808530515
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Vicki Chandler, PHARMD Pharmacist NPI 1881094944
- Ryan Gibson Pharmacist NPI 1194353805
- Robin Lindauer, OD Optometrist NPI 1740262765
- Erin Simkins Pharmacist NPI 1528469913
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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2126071 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WalMart Pharmacy 10-3511
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 397 Pharmacy providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.