OrganizationActive
Walmart Inc.
NPI 1528085891 · Community/Retail Pharmacy · Rantoul, IL
Provider details
- NPI number
- 1528085891
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Senior Director, Enrollment(480) 277-6348
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
845 Broadmeadow Rd
Rantoul, IL 61866-2119
Phone: (217) 892-9171
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.