WAL-MART STORES TEXAS LLC


Address: 12639 Blanco Rd, San Antonio, TX 78216-8103
Phone: 2105916285

WAL-MART STORES TEXAS LLC (NPI# 1588078364) 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) 1588078364
Entity Type Organization
Organization Name WAL-MART STORES TEXAS LLC
Other Organization Name WALMART PHARMACY 10-4162
Practice Address 12639 Blanco Rd
San Antonio
TX 78216-8103
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 2105916285
Mailing Telephone 4792048550
Enumeration Date 2014-06-19
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
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
29161 TX Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2146673 01
TX 469643 05
TX 1588078364 05

Other Provider/Organization Names

Other Name Type Code
Walmart Pharmacy 10-4162 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 12639 BLANCO RD
City SAN ANTONIO
State TX
Zip Code 78216-8103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326452160 Wal-mart Stores Texas, LLC Technician/Technologist 12639 Blanco Rd, San Antonio, TX 78231 2014-06-19
1265033641 Samantha Martinez Pharmacist 12639 Blanco Rd, San Antonio, TX 78216-8103 2020-11-03
1255931424 Marisa Mcbrayer Pharmacist 12639 Blanco Rd, San Antonio, TX 78216-8103 2020-10-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376179820 Damiana Lea Mcmahan Speech-Language Pathologist 12 Inter Park Blvd, #105, San Antonio, TX 78216 2020-03-17
1811530967 Hacienda Hospice, Ltd Hospice Care, Community Based 101 W Silver Sands Dr, San Antonio, TX 78216 2019-10-22
1437792876 Eddy Sidra Optometrist 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 2019-10-17
1083256796 Tiffany Michelle Goericke Physical Therapist 502 East Ramsey, San Antonio, TX 78216 2019-10-14
1780246942 Esperanza Eating Disorders Center, Pllc Clinic/Center 403 E. Ramsey, Suite 204, San Antonio, TX 78216 2019-07-08
1568938314 Lyric Lea Lewis Licensed Vocational Nurse 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 2018-10-19
1912488206 Rebecca Anna Poppe Licensed Vocational Nurse 1514 Vista Del Norte, San Antonio, TX 78216 2018-08-24
1205338779 Bailee Hannah Mokry Behavioral Analyst 11306 Sir Winston, San Antonio, TX 78216 2018-03-01
1487155677 Ojer Corbie Behavior Technician 11310 Sir Winston At Bld D, San Antonio, TX 78216 2018-02-23
1366943631 Briana Nicole Rodriguez Behavior Technician 14235 Blanco Road, San Antonio, TX 78216 2018-02-22
Find all providers in zip 78216

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
1710502067 West Lake Rx LLC Pharmacy 1255 Sw Loop 410 Ste 120, San Antonio, TX 78227-1666 2020-06-12
1396381224 Texas State Pharmacy LLC Pharmacy 1314 E Sonterra Blvd Ste 2102, San Antonio, TX 78258-4286 2019-11-26
1538702956 Zenith Rx, LLC Pharmacy 607 S Ww White Rd, San Antonio, TX 78220-1732 2019-10-18
1093366106 Medcentrix Pharmacy, LLC Pharmacy 5720 Bandera Rd Ste 4b, San Antonio, TX 78238-1950 2019-09-20
1821648361 Pharmacy 2 Plus LLC Pharmacy 9026 Culebra Rd Ste 107, San Antonio, TX 78251-2881 2019-09-17
1295381473 Phyzdata Healthcare Solutions, LLC Pharmacy 3602 Paesanos Pkwy # 300a, San Antonio, TX 78231-1277 2019-08-14
1477108595 Medcentral Pharmacy, LLC Pharmacy 8118 Fredericksburg Rd, San Antonio, TX 78229-3312 2019-08-06
1326600909 Cvs Pharmacy Inc. Pharmacy 13343 Culebra Rd, San Antonio, TX 78253-6901 2019-07-03
1821657149 Om Healthcare LLC Pharmacy 602 Bandera Rd, San Antonio, TX 78228-5203 2019-06-10
1831652296 San Antonio Arthritis Care Centers Pllc Pharmacy 8527 Village Dr Ste 103, San Antonio, TX 78217-5507 2019-04-11
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78216

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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