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

WALMART INC.
NPI 1164449369
Pharmacy - Community/Retail Pharmacy in West Valley City, UT

Active since July 16, 2006CLIA 46D2138505 · Waiver
3180 S 5600 W, WEST VALLEY CITY, UT 84120(801) 966-4492 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 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 1164449369) 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 October 18, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1164449369
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address3180 S 5600 WWest Valley City, UT 84120-1300
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1242
Phone(801) 966-4492
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1164449369 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 · 51674131703
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
3180 S 5600 W, West Valley City, UT 84120
Open in Google Maps ↗

Other Identifiers 1

Other2101077Pk

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 46D2138505

Walmart Pharmacy 10-3568 · West Valley City, UT
Active · expires Oct 18, 2027
CLIA Number46D2138505
Laboratory TypePharmacy
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorSophea Pearson
Laboratory Phone(801) 966-4492
Laboratory LocationWalmart Pharmacy 10-35683180 S 5600 W, West Valley City, UT 84120
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.
84 services84 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.
82 services82 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-3568 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-3568

DMEPOS supplier · West Valley, UTOperated by Walmart Inc
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-3568 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20427089
Medicare Participant SinceJanuary 1, 2019
Supplier Location3180 S 5600 WWest Valley, UT 84120
Phone(801) 966-4492
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

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

SOPHEA PEARSON PHARMD
Pharmacist
3180 S 5600 W
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 966-4492
RICK S ROBISON O.D.
Optometrist
3180 S 5600 W
SALT LAKE CITY, UT 84120
Salt Lake County (801) 966-8495
JAMIE GALINDO PHARMD
Pharmacist
3180 S 5600 W
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 966-4492
SEPIDEH DAEERY PHARMD
Pharmacist
3180 S 5600 W
WEST VALLEY, UT 84120
Salt Lake County (479) 295-0712
WAL-MART STORES, INC
Eyewear Supplier
3180 S 5600 W
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 966-2986
CHERNEL JEAN PARAS GUECO
Pharmacist
3180 S 5600 W
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 966-4492
TONY ASPIAZU
Pharmacist
3180 S 5600 W
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 966-4492
SAMUEL P ROBISON OD
Optometrist
3180 S 5600 W
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 966-8495

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 1164449369. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Walmart Inc. located?

Walmart Inc. is located at 3180 S 5600 W, West Valley City, UT 84120. The listed phone number is (801) 966-4492.

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. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-3568 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2138505) is associated with this NPI, valid through October 18, 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 July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.