WAL-MART STORES TEXAS LLC (NPI# 1679951016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679951016 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-4115 |
| Practice Address |
602 Cibolo Valley Dr Cibolo TX 78108-3801 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 2106599245 |
| Practice Fax Number | 2106599208 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2017-02-21 |
| 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 |
30087 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 468011 | 05 | |
| PK | 2152816 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-4115 | 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 |
602 CIBOLO VALLEY DR |
| City | CIBOLO |
| State | TX |
| Zip Code | 78108-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345690 | Leslie Davis | Pharmacist | 602 Cibolo Valley Dr, Cibolo, TX 78108-3801 | 2020-10-27 |
| 1396345591 | Penny Danos | Pharmacist | 602 Cibolo Valley Dr, Cibolo, TX 78108-3801 | 2020-10-27 |
| 1750981130 | Ashley Nicole Austin | Pharmacist | 602 Cibolo Valley Dr, Cibolo, TX 78108-3801 | 2020-10-27 |
| 1174902027 | Wal-mart Stores Texas, LLC | Technician/Technologist | 602 Cibolo Valley Dr, Cibolo, TX 78108 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947180 | Urban Dental PCs | Dentist | 2451 Fh 1103, #109, Cibolo, TX 78108 | 2019-05-10 |
| 1104381474 | Cvs Pharmacy Inc | Pharmacy | 5334 Fm 1103, Schertz, TX 78108 | 2019-01-31 |
| 1497225973 | Mission Rehabilitation and Sports Medicine Limited Partnership | Physical Therapist | 232 Brite Road, Suite 113, Cibolo, TX 78108 | 2018-11-28 |
| 1417438425 | Laura Daigle | Registered Nurse | 580 Cibolo Valley Dr Ste 221, Cibolo, TX 78108 | 2018-08-27 |
| 1184102147 | Cibolo-south Texas Center for Pediatric Care | Pediatrics | 580 Cibolo Valley Drive, Suite 221, Cibolo, TX 78108 | 2018-08-01 |
| 1346732807 | Cibolo Pediatric Dentistry, Pllc | Dentist | 3738 Cibolo Valley Dr., Cibolo, TX 78108 | 2018-05-31 |
| 1285135251 | Cynthia Schuster | Licensed Vocational Nurse | 3956 Whisper Field, Cibolo, TX 78108 | 2018-02-26 |
| 1710403761 | Samuel Wyatt Hensley | Military Health Care Provider | 100 Cirrus Cv, Cibolo, TX 78108 | 2017-08-21 |
| 1033632443 | Afcc-affinity Family Care Clinic | Nurse Practitioner | 232 Brite Rd, Suite 117, Cibolo, TX 78108 | 2017-07-18 |
| 1366964744 | Hector Eduardo Pallares-hernandez | Nurse Practitioner | 409 Stonebrook Dr, Cibolo, TX 78108 | 2017-07-07 |
| Find all providers in zip 78108 | ||||
| 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 |
|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.