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NPI 1215956222
● Active Type 2 · Organization
Wal-Mart Stores Texas Llc
Pharmacy · Carrollton, TX · NPI 1215956222
·
Enumerated 2006 · 19 years on NPI
Wal-Mart Stores Texas Llc is 1 of 5625 pharmacy organizations in Texas.
NPI age
19 years
Enumerated 2006-07-19
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Canonic
Senior Director, Enrollment
Last NPPES update
2025-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-07 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1025 W Trinity Mills Rd
Carrollton, TX 750061375
📞 8002733455 fax 8004068976
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
📞 4792771242 fax 4792774331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
📞 4808530515
Individual providers at this organization
18 individual providers on file at this primary practice address.
Specialties
Pharmacy
Primary
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...
AR license #OS01265 OK license #99-200 NJ license #28RO00006000 KY license #TX377 SD license #400-0003 NE license #126 MN license #261465 KS license #22-01391 MT license #PHA-MOP-LIC-37 MO license #2002012999 TN license #3242 IL license #054.013662 LA license #4785OS IN license #64000067A MS license #03779/7.1 taxonomy 3336C0003X
Identifiers
Type Value Notes
05 (TX)
100243640D
05 (MT)
1215956222
05 (KY)
7100037990
05 (PA)
1020965500001
05 (AR)
166999407
05 (WV)
3810011244
05 (TX)
0162973
05 (VA)
1215956222
05 (TN)
4582517
05 (TX)
470020
05 (TX)
1215956222
01
2095511
PK
05 (TX)
PH386
05 (NJ)
0162973
05 (TX)
200538680A
05 (WA)
6031421
05 (TX)
613556
05 (SC)
7T2283
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
18 individual providers on file at this primary address.
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.