WAL-MART STORES TEXAS LLC (NPI# 1720005960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720005960 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-0915 |
| Practice Address |
11210 W Airport Blvd Stafford TX 77477-3068 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2819335252 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
21598 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 468435 | 05 | |
| PK | 2096584 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0915 | 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 |
11210 W AIRPORT BLVD |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-3068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881632503 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 11210 W Airport Blvd, Stafford, TX 77477-3000 | 2006-06-03 |
| 1538769492 | Wisler Geffrard | Pharmacist | 11210 W Airport Blvd, Stafford, TX 77477-3068 | 2020-10-29 |
| 1851991624 | Felicia Chinedu Obioha | Pharmacist | 11210 W Airport Blvd, Stafford, TX 77477-3068 | 2020-10-29 |
| 1689139412 | Elizabeth Hoang | Optometrist | 11210 W Airport Blvd, Stafford, TX 77477-3068 | 2019-02-06 |
| 1528120672 | Barun Kumar Hazra | Optometrist | 11210 W Airport Blvd, Suite # A, Stafford, TX 77477-3000 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| 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 |
| 1568009256 | Halowells LLC | Pharmacy | 630 Murphy Rd Ste 110, Stafford, TX 77477-5928 | 2019-12-02 |
| 1881237923 | Care 101 Pharmacy LLC | Pharmacy | 2815 N Main St, Stafford, TX 77477-5511 | 2019-10-22 |
| 1366083255 | Lakeview Pharmacy LLC | Pharmacy | 610 Murphy Rd Ste 109, Stafford, TX 77477-5926 | 2019-10-02 |
| 1497272967 | Weis Markets, Inc. | Pharmacy | 905 Garrisonville Rd, Stafford, VA 22556-3905 | 2017-08-25 |
| 1467978767 | Enterprise Pharmacy Network,llc | Pharmacy | 802 Texas Pkwy Ste 2a, Stafford, TX 77477-6400 | 2017-08-17 |
| 1467811042 | Ecurb Solutions LLC | Pharmacy | 2503 S Main St Ste O, Stafford, TX 77477-5544 | 2016-02-11 |
| 1528479425 | Trinity Pharmacy Solutions | Pharmacy | 508 Murphy Rd Ste E, Stafford, TX 77477-5449 | 2014-05-13 |
| 1770919334 | Stafford Investment Ventures, Inc | Pharmacy | 2769 Jefferson Davis Hwy, Suite 101, Stafford, VA 22554-8325 | 2013-09-15 |
| 1114362340 | Stafford Pharmacy & Dme LLC | Pharmacy | 2448 S Main St, Stafford, TX 77477-5522 | 2013-05-01 |
| Find all providers in STAFFORD | ||||
Please comment or provide details below to improve the information on WAL-MART STORES TEXAS LLC.
| 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.