WAL-MART STORES TEXAS LLC NPI 1215956222

NPI Information

  • NPI: 1215956222
  • Provider Name: WAL-MART STORES TEXAS LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 1025 W TRINITY MILLS RD
    CARROLLTON, TX
    ZIP 75006
  • Phone: (800) 273-3455

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NPI Details

WAL-MART STORES TEXAS LLC is a community/retail pharmacy pharmacy in Carrollton, TX. The provider is 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. WAL-MART STORES TEXAS LLC NPI is 1215956222. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1025 W TRINITY MILLS RD
CARROLLTON, TX
ZIP 75006-375
Phone: (800) 273-3455
Fax: (800) 406-8976

The provider's authorized official is Kimberly Canonic .
The authorized official title is Senior Director, Enrollment and has the following contact phone number (480) 853-0515.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 6/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy99-200OKLAHOMANo
23336C0003XPharmacyCommunity/Retail Pharmacy28RO00006000NEW JERSEYNo
33336C0003XPharmacyCommunity/Retail PharmacyTX377KENTUCKYNo
43336C0003XPharmacyCommunity/Retail Pharmacy400-0003SOUTH DAKOTANo
53336C0003XPharmacyCommunity/Retail Pharmacy126NEBRASKANo
63336C0003XPharmacyCommunity/Retail Pharmacy261465MINNESOTANo
73336C0003XPharmacyCommunity/Retail Pharmacy22-01391KANSASNo
83336C0003XPharmacyCommunity/Retail PharmacyPHA-MOP-LIC-37MONTANANo
93336C0003XPharmacyCommunity/Retail Pharmacy2002012999MISSOURINo
103336C0003XPharmacyCommunity/Retail Pharmacy3242TENNESSEENo
113336C0003XPharmacyCommunity/Retail Pharmacy054.013662ILLINOISNo
123336C0003XPharmacyCommunity/Retail Pharmacy4785OSLOUISIANANo
133336C0003XPharmacyCommunity/Retail Pharmacy64000067AINDIANANo
143336C0003XPharmacyCommunity/Retail Pharmacy03779/7.1MISSISSIPPINo
153336C0003XPharmacyCommunity/Retail PharmacyOS01265ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100243640DMEDICAIDTEXAS
21215956222MEDICAIDMONTANA
37100037990MEDICAIDKENTUCKY
41020965500001MEDICAIDPENNSYLVANIA
5166999407MEDICAIDARKANSAS
63810011244MEDICAIDWEST VIRGINIA
70162973MEDICAIDTEXAS
81215956222MEDICAIDVIRGINIA
94582517MEDICAIDTENNESSEE
10470020MEDICAIDTEXAS
111215956222MEDICAIDTEXAS
122095511OTHERPK
13PH386MEDICAIDTEXAS
140162973MEDICAIDNEW JERSEY
15200538680AMEDICAIDTEXAS
166031421MEDICAIDWASHINGTON
17613556MEDICAIDTEXAS
187T2283MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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