Walmart INC.

Practice location

Address

1202 W 12600 S, Riverton, UT 84065-7094

Phone

(479) 258-2115

Mailing address

1 Customer Dr Ms 0445, Bentonville, AR 72716-0445

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 277-6348

Registered specialties (2)

Registry record

NPI

1407251770

Entity type

Organization

NPI issued

29 Oct 2014

Record last updated

15 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.