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Active NPI 1649587601 Organization (Entity Type 2)

Walmart Inc.

Pharmacy - Community/Retail Pharmacy • Pullman, WA

About Walmart Inc. NPI 1649587601 Summary

Walmart Inc. is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Pullman, WA. Located at 1690 SE HARVEST DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1649587601.

Administrative operations and authorized compliance are overseen by Kimberly Canonic (Senior Director, Enrollment).

The facility is associated with 5 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1690 Se Harvest Dr

Pullman, WA 991636000

Telephone 5093342981
Fax 5093342983

Authorized Official Information

Authorized Contact Name

Kimberly Canonic

Title / Role

Senior Director, Enrollment

Official Telephone

4808530515

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

A 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A 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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

5 Linked
John Odumah NPI 1336750835

Pharmacist

Pullman, WA

View Practitioner Profile →
Justin Ross NPI 1568854859

Pharmacist

Pullman, WA

View Practitioner Profile →
Loreli Batina NPI 1942618467

Pharmacist

Pullman, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

13 Historical Events
📍
Updated Business Mailing Address February 26, 2018

Registered at 702 SW 8TH ST., BENTONVILLE, AR 727160445 (Tel: 4792771238)

🏛️
Organization / Clinic Name Updated February 26, 2018

Operating as WALMART INC.

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2017

Registered at 1690 SE HARVEST DR, PULLMAN, WA 991636000 (Tel: 5093342981)

📍
Updated Business Mailing Address February 15, 2017

Registered at 702 SW 8TH ST, BENTONVILLE, AR 727160445 (Tel: 4792771238)

🏛️
Organization / Clinic Name Updated February 15, 2017

Operating as WAL-MART STORES INC

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Durable Medical Equipment & Medical Supplies

NPI Profile Active December 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2016

Registered at 1690 SE HARVEST DR, PULLMAN, WA 991636000 (Tel: 5093342981)

📍
Updated Business Mailing Address December 18, 2016

Registered at 702 SW 8TH ST, BENTONVILLE, AR 727160445 (Tel: 4792771238)

🏛️
Organization / Clinic Name Updated December 18, 2016

Operating as WAL-MART STORES INC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2016

Durable Medical Equipment & Medical Supplies

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Initial NPI Registration & Enumeration September 10, 2010

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1649587601
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 10, 2010
Last Update: June 12, 2025

Mailing Address

702 Sw 8th St.

Bentonville, AR 727160445

Phone: 4792771238

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.