WALMART INC.
NPI 1013800952
Pharmacy - Community/Retail Pharmacy in Eagle Mountain, UT

NPI Status: Active since May 30, 2025

Contact Information

9399 N SPRING RUN PKWY
EAGLE MOUNTAIN, UT
ZIP 84005
Phone: (385) 993-6009

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • CLIA Number: 46D2324020
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 05-15-2027

About WALMART INC.

This page provides the complete NPI Profile along with additional information for Walmart Inc., a provider established in Eagle Mountain, Utah operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1013800952 assigned on May 2025. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Kimberly Canonic (Senior Director)

NPI
1013800952
Provider Name
WALMART INC.
Entity Type
Organization
Location Address
9399 N SPRING RUN PKWY EAGLE MOUNTAIN, UT 84005
Location Phone
(385) 993-6009
Mailing Address
702 SW 8TH ST BENTONVILLE, AR 72716
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2025
Last Update Date
05-30-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY CANONIC

Authorized Official Title
SENIOR DIRECTOR
Authorized Official Phone
(480) 277-6348

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2324020
Facility Type
Pharmacy
Certificate Effective Date
May 16, 2025
Certificate Expiration Date
May 15, 2027
Laboratory Director
TAYLOR LANGFORD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walmart Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WALMART INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013800952
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231600910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 1 + 6 + 0 + 0 + 9 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013800952 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992698831WALMART INC.
Organization
Technician/Technologist (Optician)9399 N SPRING RUN PKWY
EAGLE MOUNTAIN, UT 84005
(385) 993-6011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013800952, enumerated in the NPI registry as an "organization" on May 30, 2025

The provider is located at 9399 N Spring Run Pkwy Eagle Mountain, Ut 84005 and the phone number is (385) 993-6009

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider's CLIA number is 46D2324020 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 30, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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