NPI 1275550402 · live from the CMS NPI Registry
Walmart INC.
Pharmacy, Community/Retail Pharmacy in Cody, WY. National Provider Identifier 1275550402, active.
NPI record
| NPI | 1275550402 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 321 Yellowstone Ave, Cody, WY 82414 |
| Practice phone | 307-527-5746 |
| Mailing address | 702 Sw 8th Street, Bentonville, AR 72716 |
| Enumerated | July 16, 2006 |
| Last updated | June 17, 2025 |
| Authorized official | Kimberly Canonic, Senior Director, Enrollment |
| Other names | Walmart Pharmacy 10-1778 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 5202774 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.