1. Home
  2. Directory
  3. Utah
  4. Riverton
  5. Pharmacy
  6. NPI Profile

WALMART INC.
NPI 1407251770
Pharmacy - Community/Retail Pharmacy in Riverton, UT

Active since October 29, 2014CLIA Certified · 2 labs
1202 W 12600 S, RIVERTON, UT 84065(479) 258-2115 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 9, 2025, Jul 19, 2018, Feb 26, 2018 and 3 more (6 updates tracked since 2016).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1407251770), doing business as Walmart Pharmacy 10-7043, is a healthcare organization registered as a community/retail pharmacy in Riverton, Utah and active in the NPI registry since October 2014. The organization holds 2 active CLIA laboratory certificates and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1407251770
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address1202 W 12600 SRiverton, UT 84065-7094
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(479) 258-2115
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateOctober 29, 2014
Last NPPES UpdateJune 15, 20266 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1407251770 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 UT · 9207703-1703
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
1202 W 12600 S, Riverton, UT 84065
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-7043

Other Identifiers 2

Medicaid1407251770UT
Other2148702Pk

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 2

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 46D2138983

Walmart Pharmacy 10-7043 · Riverton, UT
Active · expires Oct 26, 2027
CLIA Number46D2138983
Laboratory TypePharmacy
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorJoseph R. Cummings
Laboratory Phone(801) 999-2795
Laboratory LocationWalmart Pharmacy 10-70431202 West 12600 South, Riverton, UT 84065
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2121928

Walmart Pharmacy 10-3620 · Riverton, UT
Active · expires Nov 15, 2026
CLIA Number46D2121928
Laboratory TypePharmacy
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorAric M. Cramer
Laboratory Phone(801) 446-2991
Laboratory LocationWalmart Pharmacy 10-362013502 Hamilton View Rd, Riverton, UT 84065
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.
87 services85 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.
86 services84 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.
12 services12 patients

Other Providers at the Same Location NPPES 2

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

DR. JOSEPH REID CUMMINGS PHARM.D., MBA
Pharmacist
1202 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 999-2795
CASEY TURNER GUNDERSEN
Pharmacist
1202 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 999-2795

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 1407251770. It was assigned to this organization in the NPPES registry on October 29, 2014. The provider is doing business as WalMart Pharmacy 10-7043.

Where is Walmart Inc. located?

Walmart Inc. is located at 1202 W 12600 S, Riverton, UT 84065. The listed phone number is (479) 258-2115.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 50 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 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.