NPI age
12 years
Enumerated 2013-06-24
● 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
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
2025-06-06
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
12 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
13900 Horizon Blvd
Horizon City, TX 799286557
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Kimberly Canonic
Senior Director, Enrollment
📞 4802776348
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Jillian Alahaydoian Pharmacist NPI 1609355577
- Juan Carlos Calderon Pharmacist NPI 1144046350
- Philippe Taylor, PHARMD Pharmacist NPI 1710658166
- Zidane Tindongkeng, PHARMACIST Pharmacist NPI 1962769992
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 |
|---|---|---|
| 05 (TX) | 1699114603 | |
| 05 (TX) | 470571 | |
| 01 | 2141278 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walmart Pharmacy 10-3136
Practice context
Multi-provider organization. 4 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.