WAL-MART STORES TEXAS LLC (NPI# 1396853685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396853685 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-3826 |
| Practice Address |
1911 Marsha Sharp Fwy Lubbock TX 79415-4036 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8067473915 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
25106 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 469504 | 05 | |
| PK | 2099370 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-3826 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922532779 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 20310 Us 59, New Caney, TX 77357 | 2017-04-19 |
| 1285168039 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 500 Richland Boulevard, Prosper, TX 75078 | 2017-04-19 |
| 1366976060 | Wal-mart Stores Texas LLC | Pharmacy | 13322 West Airport Blvd, Sugar Land, TX 77478 | 2017-04-19 |
| 1215475736 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 22850 Morton Ranch Rd, Katy, TX 77449-2154 | 2017-02-03 |
| 1134667645 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 521 S. Central Express Way, Anna, TX 75409 | 2017-02-03 |
| 1245777895 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 450 S Southeast Loop 323, Tyler, TX 75702-8646 | 2017-01-20 |
| 1326599754 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 25800 Kuykendahl Rd, Tomball, TX 77375-2892 | 2016-10-20 |
| 1396296711 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 733 Sun Valley Blvd, Hewitt, TX 76643-3535 | 2016-10-20 |
| 1205387628 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1110 Sunland Park Drive, El Paso, TX 79922 | 2016-10-20 |
| 1801344874 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1619 Ambler Ave, Abilene, TX 79601-2235 | 2016-09-19 |
| Street Address |
1911 MARSHA SHARP FWY |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932414 | Kartikkumar Bhakta | Pharmacist | 1911 Marsha Sharp Fwy, Lubbock, TX 79415-4036 | 2020-11-04 |
| 1306447503 | Christopher Aaron Figert | Pharmacist | 1911 Marsha Sharp Fwy, Lubbock, TX 79415-4036 | 2020-11-04 |
| 1215538327 | Rachel Amanda Decamp | Pharmacist | 1911 Marsha Sharp Fwy, Lubbock, TX 79415-4036 | 2020-11-04 |
| 1538769815 | Chelsea Paige Allison | Pharmacist | 1911 Marsha Sharp Fwy, Lubbock, TX 79415-4036 | 2020-10-27 |
| 1154881134 | Kevin Michael Thompson | Pharmacist | 1911 Marsha Sharp Fwy, Lubbock, TX 79415-4036 | 2019-03-25 |
| 1235262221 | Wal-mart Stores Texas, LLC | Technician/Technologist | 1911 Marsha Sharp Fwy, Lubbock, TX 79415-4036 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093114845 | Apothecarxy Specialty LLC | Pharmacy | 5214 98th Street, Suite 302, Lubbock, TX 79424 | 2014-08-18 |
| 1235559865 | Parkway Pharmacy | Pharmacy | 1824 Parkway Dr, Set 100, Lubbock, TX 79403-4406 | 2014-04-22 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1083997639 | L C Pharma of Lubbock LLC | Pharmacy | 3801 22nd St Ste 1a, Lubbock, TX 79410-1113 | 2011-09-21 |
| 1871636738 | Texas Tech Student Health Pharmacy | Pharmacy | 1003 Flint Ave., Lubbock, TX 79409 | 2007-02-14 |
| 1053473918 | Stok-pharms Inc | Pharmacy | 8211 Indiana Ave, Lubbock, TX 79423-2832 | 2006-12-15 |
| 1306912068 | Lowe's Marketplace Pharmacy #81 | Pharmacy | 8208 Slide Rd, Lubbock, TX 79424-3436 | 2006-11-27 |
| 1205933603 | Cvs Pharmacy Inc | Pharmacy | 3801 19th St, Lubbock, TX 79410-1001 | 2006-09-20 |
| 1679670178 | Cvs Pharmacy Inc | Pharmacy | 5208 98th St, Lubbock, TX 79424-4493 | 2006-09-20 |
| 1346344124 | Cvs Pharmacy Inc | Pharmacy | 3402 50th St, Lubbock, TX 79413-4002 | 2006-09-12 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.