P Praxis·MD
● Active Type 2 · Organization

Wal-Mart Stores Texas Llc

Pharmacy·Texarkana, TX· NPI 1639560444 · Enumerated 2015 · 11 years on NPI
Wal-Mart Stores Texas Llc is 1 of 5625 pharmacy organizations in Texas.
NPI age
11 years
Enumerated 2015-02-16
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
2025-06-10
Source: monthly bulk 2026-05

How this organization compares

Across 5625 active pharmacy providers in Texas.

NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-02Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
3520 Richmond Rd
Texarkana, TX 755030705
📞 9037167110fax 9037167111
Mailing address
702 Sw 8th St
Bentonville, AR 727160445

Authorized official

Kimberly Canonic
Senior Director, Enrollment
📞 4808530515

Individual providers at this organization

5 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...
    TX license #29761 taxonomy 3336C0003X

Identifiers

TypeValueNotes
01 2150355 PK
05 (AR) 208760407
05 (TX) 469709

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Walmart Pharmacy 10-4371
    Type code 3 recorded 2015-02-23

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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