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Export Provider Record NPI 1043237183
Walmart Inc.
Organization Subpart: NO
Active
NPI Number1043237183
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1043237183
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-16
Last Updated2025-06-17
Authorized OfficialKimberly Canonic
Senior Director, Enrollment
Phone: 4808530515
Mailing Address702 Sw 8th St
Bentonville, AR 72716-0445
United States
📍 View Map
Primary Practice Address3002 Stacy Allison Way
Woodburn, OR 97071-2904
United States
Phone: (503) 981-9625
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOR047626
Other (non-Medicare)2078273PK
MEDICAIDOR47626
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies
No333600000X – Pharmacy
Yes3336C0003X – Pharmacy, Community/Retail PharmacyOR0001256CS
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About NPI 1043237183

Walmart Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1043237183. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Woodburn, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043237183?

NPI 1043237183 belongs to Walmart Inc., a Pharmacy, Community/Retail Pharmacy in Woodburn, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043237183 active?

The current status of NPI 1043237183 in the NPPES registry is Active. The record was last updated on 2025-06-17.

What specialty is NPI 1043237183?

NPI 1043237183 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043237183?

You can verify NPI 1043237183 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043237183?

The primary practice address on file for NPI 1043237183 is 3002 Stacy Allison Way, Woodburn, OR 97071-2904. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043237183 issued?

NPI 1043237183 was first issued (enumerated) on 2006-07-16. The NPPES record was last updated on 2025-06-17.

Practice Location Map

Walmart Inc. is located at 3002 Stacy Allison Way, Woodburn, OR. Use the map below to find directions or verify the practice location.

📍 3002 Stacy Allison Way, Woodburn, OR 97071-2904  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Walmart Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1043237183. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy0001256CSOR
Data Verified from CMS NPPES Last synced: 2026-06-12 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162