WAL-MART STORES TEXAS LLC (NPI# 1790702959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790702959 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-0470 |
| Practice Address |
1821 S Padre Island Dr Corpus Christi TX 78416-1398 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3618545804 |
| 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 |
21707 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 470336 | 05 | |
| PK | 2097234 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0470 | 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 |
1821 S PADRE ISLAND DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78416-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417989799 | Janet Marie Pena | Optometrist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2006-07-07 |
| 1366043622 | Chandravadan Gordhanbhai Patel | Pharmacist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2020-11-03 |
| 1629678453 | Ruselle Pham | Pharmacist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2020-10-30 |
| 1295335917 | Birva Shah | Pharmacist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2020-10-30 |
| 1790385599 | Grace Segura | Pharmacist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2020-10-29 |
| 1457872566 | Jpod LLC | Optometrist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2017-06-28 |
| 1447350434 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1821 S Padre Island Dr, Corpus Christi, TX 78416-1398 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295020675 | Wendelene Nicole Turner | Dentist | 1620 S Padre Island Drive, Suite 250, Corpus Christi, TX 78416 | 2011-06-14 |
| 1346456613 | West Oso Isd | Local Education Agency (LEA) | 5050 Rockford Drive, Corpus Christi, TX 78416 | 2007-05-15 |
| 1184758377 | Thomas Willard Vitz | Dentist | 1620 S. Padre Island Drive, Suite 250, Corpus Christi, TX 78416 | 2007-03-16 |
| 1710908470 | Christus Spohn Family Health Center - Westside | Family Medicine | 47617 Greenwood, Corpus Christi, TX 78416 | 2006-07-21 |
| 1003845108 | City of Corpus Christi | Clinical Medical Laboratory | 1702 Hornerd, Corpus Christi, TX 78416 | 2006-07-01 |
| 1124530357 | Mayra Elizabeth Andrade | Nurse Practitioner | 4617 Greenwood Dr, Corpus Christi, TX 78416 | 2017-10-27 |
| 1093883688 | Corpus Christi Adult Day Care Ltd. | Clinic/Center | 2020 Gollihar Rd, Corpus Christi, TX 78416-1125 | 2006-12-01 |
| 1467929893 | Corina Ashley Rodriguez | Specialist/Technologist | 1818 Trojan Dr, Corpus Christi, TX 78416-1319 | 2018-10-24 |
| 1063658847 | Safety Extensions | Religious Nonmedical Health Care Institution | 4922 Waterfall St, Corpus Christi, TX 78416-1321 | 2008-12-27 |
| 1467660027 | Steven V Hoffman | Hearing Instrument Specialist | 1710 S Padre Island Dr, Corpus Christi, TX 78416-1339 | 2007-05-18 |
| Find all providers in zip 78416 | ||||
| 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 |
|---|---|---|---|---|
| 1558907162 | Coastal Bend Cancer Center Pharmacy LLC | Pharmacy | 1625 Rodd Field Rd Ste 100-a, Corpus Christi, TX 78412-4926 | 2019-11-19 |
| 1447819479 | Dmb Health At Corpus LLC | Pharmacy | 1335 Santa Fe St Ste 1, Corpus Christi, TX 78404-2213 | 2019-06-12 |
| 1689131625 | Maxor National Pharmacy Services LLC | Pharmacy | 2882 Holly Rd Ste 100, Corpus Christi, TX 78415-4106 | 2019-02-26 |
| 1528336419 | Moores Pharmacy Inc | Pharmacy | 5802 Saratoga Blvd Ste 100, Corpus Christi, TX 78414-4252 | 2011-12-06 |
| 1336243153 | Cvs Pharmacy Inc | Pharmacy | 4102 Ayers St, Corpus Christi, TX 78415-5315 | 2006-09-12 |
| 1609970425 | Cvs Pharmacy Inc | Pharmacy | 1240 S Port Ave, Corpus Christi, TX 78405-2308 | 2006-09-12 |
| 1477657260 | Cvs Pharmacy Inc | Pharmacy | 2102 Airline Rd, Corpus Christi, TX 78414-2640 | 2006-09-12 |
| 1245334069 | Cvs Pharmacy Inc | Pharmacy | 4166 S Staples St, Corpus Christi, TX 78411-2133 | 2006-09-12 |
| 1427152248 | Cvs Pharmacy Inc | Pharmacy | 4801 S Alameda St, Corpus Christi, TX 78412-2332 | 2006-09-12 |
| 1104920909 | Cvs Pharmacy Inc | Pharmacy | 14525 S Padre Island Dr, Suite B, Corpus Christi, TX 78418-5951 | 2006-09-12 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78416 |
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.