NPI age
13 years
Enumerated 2012-11-19
● Active Type 2 · Organization
Wal-Mart Stores Texas Llc
Wal-Mart Stores Texas Llc is 1 of 5625 pharmacy organizations in Texas.
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
2025-06-06
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
13 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-11Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
2900 Renaissance Sq
Fort Worth, TX 761055200
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Kimberly Canonic
Senior Director, Enrollment
📞 4802776348
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Kunha Chintasreni Pharmacist NPI 1902406515
- Ebram Khalil Pharmacist NPI 1588265227
- Cheryl Klempel, DPH Pharmacist NPI 1851992861
- Kim Luu Pharmacist NPI 1750732103
- Kruti Shah, PHARMACIST Pharmacist NPI 1679924245
- Guy Simpson Pharmacist NPI 1588260251
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1598009375 | |
| 05 (TX) | 470145 | |
| 01 | 2138059 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walmart Pharmacy 10-3044
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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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.