NPI age
12 years
Enumerated 2014-04-09
● Active Type 2 · Organization
Subpart
Wal-Mart Stores Texas, Llc
Wal-Mart Stores Texas, Llc is 1 of 5264 nurse practitioner organizations in Texas.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Levine
Director Of Healthcare Contracting
Last NPPES update
2015-02-19
Source: monthly bulk 2026-05
How this organization compares
Across 5264 active nurse practitioner providers in Texas.
NPI age
12 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-04Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2720 E Business 190
Copperas Cove, TX 765222584
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Laura Levine
Director Of Healthcare Contracting
📞 4792048550
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Lara Kohn, RPH Pharmacist NPI 1336749332
- Jeffrey Pack, PHARMD Pharmacist NPI 1467053363
- Heidi Perez, RPH Pharmacist NPI 1790386860
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 358648ZHTM | MEDICARE PTAN |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walmart Care Clinic 10-0381
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Wal-Mart Stores, Inc..
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- 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.