NPI
Walmart Inc.
Phone (309) 451-1200 · NPI 1619994985
Read from the NPPES registry on October 24, 2026.
Walmart Inc. pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-07-16
- Last updated
- 2025-06-05
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Specialties
Licenses
- License IL
- 054009248
Location
- Practice location
- 300 Greenbriar Dr
- City
- Normal IL
- Postal code
- 61761-2278
- Phone
- (309) 451-1200
Organization contact
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pharmacy, Community/Retail Pharmacy providers in Normal, IL. 7 with this primary taxonomy in the public file.
Other NPIs in Normal, IL. 1,190 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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