NPI age
11 years
Enumerated 2014-06-02
● 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
11 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
8840 Benbrook Blvd
Benbrook, TX 761263440
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Laura Levine
Director Of Healthcare Contracting
📞 4792048550
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Sandra Godswill, PHARMD Pharmacist NPI 1205436805
- Brenda Nyambweke, FNP Nurse Practitioner NPI 1205185758
- Priyanka Patel Pharmacist NPI 1457952947
- Julie Roddie Pharmacist NPI 1174123772
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) | 358654ZHTP | MEDICARE PTAN |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walmart Care Clinic 10-4509
Practice context
Multi-provider organization. 4 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.