1. Home
  2. Directory
  3. Utah
  4. West Valley City
  5. Pharmacy
  6. NPI Profile

WALMART INC.
NPI 1114944303
Pharmacy - Community/Retail Pharmacy in West Valley City, UT

Active since July 16, 2006CLIA 46D2140933 · Waiver
5675 W 6200 S, WEST VALLEY CITY, UT 84118(801) 965-0243 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2025, Feb 28, 2018, Feb 17, 2017 and 1 more (4 updates tracked since 2016).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1114944303) is a healthcare organization registered as a community/retail pharmacy in West Valley City, Utah and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1114944303
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address5675 W 6200 SWest Valley City, UT 84118-7915
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(801) 965-0243
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 12, 20254 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1114944303 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 UT · 56791611703
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
5675 W 6200 S, West Valley City, UT 84118
Open in Google Maps ↗

Other Identifiers 1

Other2100776Pk

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2140933

Walmart Pharmacy 10-5233 · West Valley City, UT
Active · expires Dec 3, 2027
CLIA Number46D2140933
Laboratory TypePharmacy
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorBrian Isenhour
Laboratory Phone(801) 965-0243
Laboratory LocationWalmart Pharmacy 10-52335675 W 6200 S, West Valley City, UT 84118
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
73 services72 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.
71 services70 patients

Other Providers at the Same Location NPPES 4

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

DR. JOSHUA BASTIAN PHARMD
Pharmacist
5675 W 6200 S
WEST VALLEY CITY, UT 84118
Salt Lake County (801) 965-0243
BRIAN ISENHOUR
Pharmacist
5675 W 6200 S
WEST VALLEY CITY, UT 84118
Salt Lake County (801) 965-0243
WAL-MART STORES, INC
Eyewear Supplier
5675 W 6200 S
WEST VALLEY CITY, UT 84118
Salt Lake County (801) 965-0125
DR. TRENT FOULGER
Pharmacist
5675 W 6200 S
SALT LAKE CITY, UT 84118
Salt Lake County (801) 965-0243

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 1114944303. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Walmart Inc. located?

Walmart Inc. is located at 5675 W 6200 S, West Valley City, UT 84118. The listed phone number is (801) 965-0243.

What is Walmart Inc.'s specialty?

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

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2140933) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 51 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 June 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.