Walmart Inc
LBN: Walmart Inc
Walmart Inc is an health care organization with primary practice located at 1791 Ensign Lane Se , Warrenton OR 97146-7339. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Walmart Inc can be contacted via phone (503) 861-0644, or through Canonic, Kimberly via phone (480) 853-0515.
Contact Information
Primary practice address
1791 Ensign Lane Se
Warrenton OR 97146-7339
Phone: (503) 861-0644
Fax: (503) 861-0897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | RP-0003387 | Oregon |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1710489406 |
|---|---|
| LBN Legal business name | Walmart Inc |
| DBA Doing business as | |
| Authorized official | Canonic, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2018 |
| Last updated | Jun 12th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710489406 | NPPES |
| Oregon | MEDICAID | 500745490 | |
| Oregon | MEDICAID | 2103875 | |
| Oregon | Other | 2176573 |
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