Organization · Type 2 NPI

Walmart Inc.

Community/Retail Pharmacy · Glendale, AZ

NPI number 1871774448 Active

Practice location

6550 W Happy Valley Rd
Glendale, AZ 85310-2614

Call (623) 566-6795 Map

Fax (623) 566-6797

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	Y004904 (AZ)

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 …

2 other providers at this address

Other community/retail pharmacy providers in Glendale

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NPI record

NPI: 1871774448
Entity type: Organization (Type 2)
Issued: Nov 23, 2007
Last updated: Jul 14, 2025
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-4233 · doing business as
Walmart Pharmacy 10-4233 · doing business as

Authorized official

Kimberly Canonic
Senior Director Enrollment
(480) 853-0515

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 1871774448

Walmart Inc.'s National Provider Identifier is 1871774448, issued on Nov 23, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Glendale, AZ. The record was last updated on Jul 14, 2025.