WAL-MART STORES TEXAS LLC


Address: 5976 Old Jacksonville Hwy, Tyler, TX 75703-0582
Phone: 9034056212

WAL-MART STORES TEXAS LLC (NPI# 1457722779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457722779
Entity Type Organization
Organization Name WAL-MART STORES TEXAS LLC
Other Organization Name WALMART PHARMACY 10-4605
Practice Address 5976 Old Jacksonville Hwy
Tyler
TX 75703-0582
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-6209
Practice Telephone 9034056212
Mailing Telephone 4792048550
Mailing Fax Number 4792774331
Enumeration Date 2015-10-13
Last Update Date 2017-02-15
Authorized Official Name SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
Authorized Official Telephone 4792772500
Is Organization Subpart N

Taxonomy

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
30183 TX Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2154954 01
TX 468012 05

Other Provider/Organization Names

Other Name Type Code
Walmart Pharmacy 10-4605 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 5976 OLD JACKSONVILLE HWY
City TYLER
State TX
Zip Code 75703-0582

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003416462 Kymberli Bell Pharmacist 5976 Old Jacksonville Hwy, Tyler, TX 75703-0582 2020-10-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
Find all providers in zip 75703

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508485871 Tyler Carerx LLC Pharmacy 1007 E 2nd St, Tyler, TX 75701-3312 2020-04-15
1225498991 Savrx Pharmacy, Inc Pharmacy 6100 S. Broadway Ave, Suite 160, Tyler, TX 75703 2016-02-24
1043684228 Fred's Stores of Tennessee Inc. Pharmacy 1803 E Gentry Pkwy, Tyler, TX 75702-3564 2015-11-25
1962874602 Brookshire Grocery Company Pharmacy 172 Centennial Pkwy, Tyler, TX 75703 2015-10-21
1619143732 Brookshire Grocery Company Pharmacy 1600 Wsw Loop 323, Tyler, TX 75701-8532 2008-05-08
1750485587 Cvs Pharmacy Inc Pharmacy 4922 S Broadway Ave, Tyler, TX 75703-1324 2006-09-12
1235243221 Majors Pharmacy Inc Pharmacy 108 Shelley Dr, Tyler, TX 75701-8723 2006-08-18
1700808458 Cvs Pharmacy Inc Pharmacy 7003 S Broadway Ave, Tyler, TX 75703-4737 2006-07-24
1356955587 American Specialty Pharmacy Inc Pharmacy 1109 E 5th St, Tyler, TX 75701-3318 2020-09-04
1336751270 Stephenson Pharmacy, LLC Pharmacy 1000 S Fleishel Ave, Tyler, TX 75701-2037 2020-08-21
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75703

Improve Information

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Dataset Information

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.

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