Organization · Type 2 NPI

Walmart Inc.

Community/Retail Pharmacy · Burnsville, MN

NPI number 1053669085 Active

Practice location

12200 River Ridge Blvd
Burnsville, MN 55337-1608

Call (952) 356-3336 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	263972 (MN)

Community/Retail Pharmacy: 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 …

Another provider at this address

Wal-Mart Stores IncEyewear Supplier Burnsville, MN NPI 1508116807

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NPI record

NPI: 1053669085
Entity type: Organization (Type 2)
Issued: Aug 23, 2012
Last updated: Sep 19, 2025
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-5977 · doing business as
Walmart Pharmacy 10-5977 · doing business as

Authorized official

Sarah Little
Director of Healthcare Contracting
(479) 277-2500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053669085

Walmart Inc.'s National Provider Identifier is 1053669085, issued on Aug 23, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Burnsville, MN. The record was last updated on Sep 19, 2025.