NPI age
12 years
Enumerated 2014-10-07
● Active Type 2 · Organization
Wal-Mart Stores Texas Llc
Wal-Mart Stores Texas Llc is 1 of 5,686 community/retail pharmacy (pharmacy) organizations in Texas.
Primary specialty
Community/Retail Pharmacy (Pharmacy)
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Canonic
Senior Director, Enrollment
Last NPPES update
2025-06-09
Source: CMS NPPES provider record
How this organization compares
Across 5686 active community/retail pharmacy (pharmacy) providers in Texas.
NPI age
12 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 61% of peers with subspecialties
NPI lifetime · 2014 → 2025
2014-10Enumerated in NPPES
2014
2025
Where they practice
Primary practice location
12631 Broadway St
Pearland, TX 775841932
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Kimberly Canonic
Senior Director, Enrollment
📞 4802776348
Other providers sharing this address
4 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Mahsa Mirabadi Pharmacist NPI 1053912246
- Thuy-Trinh Ngo Pharmacist NPI 1124867395
- Quynhnhu Tran, PHARMD Pharmacist NPI 1235733643
- Stephanie Vicknair, RPH Pharmacist NPI 1689275141
Specialties
-
Pharmacy PrimaryA 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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2149109 | PK |
| 05 (TX) | 470343 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walmart Pharmacy 10-7361
Practice context
Shared NPPES address. 4 individual providers use this primary address. This does not prove employment or affiliation.
Provyx · Custom healthcare lists
Need all 5686 Community/Retail Pharmacy (Pharmacy) providers in Texas?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.