WALMART INC.
NPI 1174709513
Pharmacy - Community/Retail Pharmacy in Olathe, KS

Q: What is Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1174709513. It was assigned to this organization in the NPPES registry on January 16, 2008. The provider is doing business as Walmart Pharmacy 10-4475.

Q: What is Walmart Inc.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on July 14, 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.

Active since January 16, 2008CLIA 17D2158988 · Waiver

395 N K 7 HWY, OLATHE, KS 66061(913) 764-7150 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2018, Feb 27, 2018, Feb 16, 2017 and 3 more (6 updates tracked since 2016).

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About Walmart Inc. NPPES

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

WALMART INC. (NPI 1174709513), doing business as Walmart Pharmacy 10-4475, is a healthcare organization registered as a community/retail pharmacy in Olathe, Kansas and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1174709513

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALMART INC.

Location Address395 N K 7 HWYOlathe, KS 66061-8913

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238

Phone(913) 764-7150

Organization SubpartNo

Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515

Enumeration DateJanuary 16, 2008

Last NPPES UpdateJuly 14, 20256 updates tracked since enumeration

NPPES CertifiedJuly 14, 2025

✔ NPI 1174709513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in KS · 2-10183

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

395 N K 7 HWY, Olathe, KS 66061

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Other Names 1

Doing Business AsWalmart Pharmacy 10-4475

Other Identifiers 1

Other2027875Pk

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 17D2158988

Walmart Pharmacy 10-4475 · Olathe, KS

Active · expires Dec 10, 2026

CLIA Number17D2158988

Laboratory TypePharmacy

Certificate Effective DateDecember 11, 2024

Certificate Expiration DateDecember 10, 2026

Laboratory DirectorMelodi Bona

Laboratory Phone(913) 764-7165

Laboratory LocationWalmart Pharmacy 10-4475395 N K 7 Hwy, Olathe, KS 66061

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

301 services299 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.

291 services289 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.

28 services28 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

20 services20 patients

Other Providers at the Same Location NPPES 7

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

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Pharmacist