What is Walmart Inc.'s NPI number?

Walmart Inc.'s National Provider Identifier (NPI) is 1013072123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Walmart Inc.?

Walmart Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).

Where is Walmart Inc. located?

Walmart Inc.'s practice location on file with NPPES is 2228 W 1700 S, Syracuse, UT 84075-7126.

What is Walmart Inc.'s phone number?

The practice phone number listed in the NPPES registry for Walmart Inc. is (801) 775-9880.

Does Walmart Inc. accept Medicare?

Walmart Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Walmart Inc.?

The authorized official listed on Walmart Inc.'s NPPES record is Kimberly Canonic, Senior Director Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Walmart Inc.'s NPI active?

Yes — Walmart Inc.'s NPI (1013072123) is active in the NPPES registry as of the last update on 2025-07-08.

OrganizationActiveAccepts Medicare

Walmart Inc.

NPI 1013072123 · Community/Retail Pharmacy · Syracuse, UT

Walmart Inc. is a Community/Retail Pharmacy organization in Syracuse, UT (NPI 1013072123).

Provider details

NPI number: 1013072123
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Kimberly Canonic, Senior Director Enrollment(480) 853-0515

Practice location

2228 W 1700 S

Syracuse, UT 84075-7126

Phone: (801) 775-9880

Street-level locationGet directions

More UT providers

Mailing address

702 Sw 8th St

Bentonville, AR 72716-6209

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 63758311703 (UT)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
19 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
156 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Administration of Influenza Virus VaccineG0008	81	$21
Admn Sarscov2 Vacc 1 Dose90480	64	$8
Administration of Pneumococcal VaccineG0009	11	$16

Typical Medicare-allowed amounts for these services range $8–$21 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Enumerated: 2006-12-27
Last updated: 2025-07-08
Certified: 2025-07-08

Frequently asked questions

What is Walmart Inc.'s NPI number?: Walmart Inc.'s National Provider Identifier (NPI) is 1013072123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Walmart Inc.?: Walmart Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
Where is Walmart Inc. located?: Walmart Inc.'s practice location on file with NPPES is 2228 W 1700 S, Syracuse, UT 84075-7126.
What is Walmart Inc.'s phone number?: The practice phone number listed in the NPPES registry for Walmart Inc. is (801) 775-9880.
Does Walmart Inc. accept Medicare?: Walmart Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Walmart Inc.?: The authorized official listed on Walmart Inc.'s NPPES record is Kimberly Canonic, Senior Director Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Walmart Inc.'s NPI active?: Yes — Walmart Inc.'s NPI (1013072123) is active in the NPPES registry as of the last update on 2025-07-08.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

What this provider does (Medicare)

Registry dates

Frequently asked questions

Specialties & taxonomies

Frequently asked questions

Profile Score

What this provider does (Medicare)