WAL-MART STORES TEXAS LLC (NPI# 1902823073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902823073 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-3645 |
| Practice Address |
200 W Interstate 20 Midland TX 79701-2030 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4326844425 |
| 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 |
24251 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 469704 | 05 | |
| TX | 24251 | 05 | |
| PK | 2098515 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-3645 | 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 |
200 W INTERSTATE 20 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568831 | Sudha Ramachandra | Pharmacist | 200 W Interstate 20, Midland, TX 79701-2030 | 2020-11-03 |
| 1356998140 | Ugochukwu Joachin Chiadi | Pharmacist | 200 W Interstate 20, Midland, TX 79701-2030 | 2019-08-26 |
| 1649736398 | Henry Phe | Pharmacist | 200 W Interstate 20, Midland, TX 79701-2030 | 2019-02-19 |
| 1730472432 | Luke Eye Associates, Lp | Optometrist | 200 W Interstate 20, Midland, TX 79701-2030 | 2011-05-27 |
| 1053494591 | Wal-mart Stores Texas, LLC | Technician/Technologist | 200 W Interstate 20, Midland, TX 79701-2030 | 2006-10-20 |
| 1407941040 | Joy Lynn Luke | Optometrist | 200 W Interstate 20, Midland, TX 79701-2030 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| 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 |
|---|---|---|---|---|
| 1962024513 | Topline Care Pharmaceuticals LLC | Pharmacy | 4400 W Loop 250 N Ste 102, Midland, TX 79707-3166 | 2020-05-16 |
| 1083255996 | Symreet Mann | Pharmacy | 1111 N Midkiff Rd Ste A, Midland, TX 79701-2120 | 2019-10-02 |
| 1497246060 | Mekason Pharmacy, Inc | Pharmacy | 3205 W Cuthbert Ave Ste A5, Midland, TX 79701-5594 | 2018-05-19 |
| 1811273881 | Ben-ray Inc Dba Providerx | Pharmacy | 2208 N Loop 250 W # 101, Midland, TX 79707-6011 | 2011-10-22 |
| 1386961159 | Cvs Pharmacy Inc | Pharmacy | 301 Andrews Hwy, Midland, TX 79701-6333 | 2010-05-03 |
| 1811902463 | S R Rogers Inc | Pharmacy | 1601 W Wall St, Midland, TX 79701-6549 | 2006-07-30 |
| 1073563607 | Xme Inc | Pharmacy | 314 W Wackerly St Ste L, Midland, MI 48640-2766 | 2006-05-12 |
| 1750995338 | Frank Gung | Pharmacy | 3317 N Midland Dr, Midland, TX 79707-4602 | 2020-09-01 |
| 1982216651 | Costco Wholesale Corporation | Pharmacy | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1336780246 | Midland Care Pharmacy LLC | Pharmacy | 1111 N Midkiff Rd Ste A, Midland, TX 79701-2120 | 2019-10-02 |
| Find all providers in MIDLAND | ||||
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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.