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WALMART INC.
NPI 1023035292
Pharmacy - Community/Retail Pharmacy in Rapid City, SD

Active since July 16, 2006
1200 N LACROSSE ST, RAPID CITY, SD 57701(605) 342-0881 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Jul 19, 2018, Feb 26, 2018 and 2 more (5 updates tracked since 2016).

About Walmart Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART INC. (NPI 1023035292), doing business as Walmart Pharmacy 10-1604, is a healthcare organization registered as a community/retail pharmacy in Rapid City, South Dakota and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1023035292
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address1200 N LACROSSE STRapid City, SD 57701-6965
Mailing Address702 Sw 8th StreetBentonville, AR 72716-0445
Phone(605) 342-0881
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1023035292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in SD · 1001513
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
1200 N LACROSSE ST, Rapid City, SD 57701
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Other Names 1

Doing Business AsWalmart Pharmacy 10-1604

Other Identifiers 2

Medicaid8503650SD
Other2094202Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
212 services211 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
202 services201 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE CHMURA PHARMD
Pharmacist
1200 N LACROSSE ST
RAPID CITY, SD 57701
Meade County (605) 342-0881
MACKENZIE CARLBOM
Pharmacist
1200 N LACROSSE ST
RAPID CITY, SD 57701
Meade County (605) 342-0881
NATIONAL VISION, INC.
Eyewear Supplier
1200 N LACROSSE ST
RAPID CITY, SD 57701
Meade County (605) 348-4881
DUSTIN R WAGNER
Pharmacist
1200 N LACROSSE ST
RAPID CITY, SD 57701
Meade County (605) 342-0881
AIMEE C DUFOUR PHARM D
Pharmacist
1200 N LACROSSE ST
RAPID CITY, SD 57701
Meade County (605) 342-0881
WALMART INC.
Technician/Technologist (Optician)
1200 N LACROSSE ST
RAPID CITY, SD 57701
Meade County (605) 348-4881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1023035292. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-1604.

Where is Walmart Inc. located?

Walmart Inc. is located at 1200 N Lacrosse St, Rapid City, SD 57701. The listed phone number is (605) 342-0881.

What is Walmart Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Walmart Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Walmart Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.