WAL-MART STORES TEXAS LLC (NPI# 1013934249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013934249 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-0752 |
| Practice Address |
5200 Fairmont Pkwy Pasadena TX 77505-3802 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2814878091 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
21716 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 469363 | 05 | |
| PK | 2103285 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0752 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922532779 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 20310 Us 59, New Caney, TX 77357 | 2017-04-19 |
| 1285168039 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 500 Richland Boulevard, Prosper, TX 75078 | 2017-04-19 |
| 1366976060 | Wal-mart Stores Texas LLC | Pharmacy | 13322 West Airport Blvd, Sugar Land, TX 77478 | 2017-04-19 |
| 1215475736 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 22850 Morton Ranch Rd, Katy, TX 77449-2154 | 2017-02-03 |
| 1134667645 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 521 S. Central Express Way, Anna, TX 75409 | 2017-02-03 |
| 1245777895 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 450 S Southeast Loop 323, Tyler, TX 75702-8646 | 2017-01-20 |
| 1326599754 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 25800 Kuykendahl Rd, Tomball, TX 77375-2892 | 2016-10-20 |
| 1396296711 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 733 Sun Valley Blvd, Hewitt, TX 76643-3535 | 2016-10-20 |
| 1205387628 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1110 Sunland Park Drive, El Paso, TX 79922 | 2016-10-20 |
| 1801344874 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1619 Ambler Ave, Abilene, TX 79601-2235 | 2016-09-19 |
| Street Address |
5200 FAIRMONT PKWY |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802191 | Joaquina Guerrero | Pharmacist | 5200 Fairmont Pkwy, Pasadena, TX 77505-3802 | 2018-02-22 |
| 1306353032 | Alissa Nguyen | Pharmacist | 5200 Fairmont Pkwy, Pasadena, TX 77505-3802 | 2018-01-03 |
| 1700393568 | Yamin Escalante | Pharmacist | 5200 Fairmont Pkwy, Pasadena, TX 77505-3802 | 2018-01-02 |
| 1730321795 | Dr. Kaylyn C. Nguyen and Associates | Optometrist | 5200 Fairmont Pkwy, Pasadena, TX 77505-3802 | 2009-04-06 |
| 1891964425 | Kaylyn Chi Nguyen | Optometrist | 5200 Fairmont Pkwy, Pasadena, TX 77505-3802 | 2008-02-28 |
| 1750451803 | Tam Anh Ha | Optometrist | 5200 Fairmont Pkwy, Pasadena, TX 77505-3802 | 2006-11-08 |
| 1437258332 | Wal-mart Stores Texas, Lp | Technician/Technologist | 5200 Fairmont Pkwy, Pasadena, TX 77505-3802 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296919 | Lax Solutions LLC | Pharmacy | 3527 Shaver St # 105, Pasadena, TX 77504-1307 | 2019-10-16 |
| 1962964098 | Total Care Rx Pharmacy, LLC | Pharmacy | 4002 Burke Rd Ste 500, Pasadena, TX 77504-3451 | 2019-04-06 |
| 1073002127 | Megan International, Inc | Pharmacy | 1017 Fairmont Pkwy, Pasadena, TX 77504-2903 | 2018-05-03 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1861914517 | Care Rrx Pharmacy | Pharmacy | 4102 Woodlawn Ave Ste 120, Pasadena, TX 77504-1948 | 2017-07-14 |
| 1124573183 | Angels Pharmacy | Pharmacy | 3623 Red Bluff Rd, Pasadena, TX 77503-3345 | 2016-08-19 |
| 1568821833 | Kumarx Pharmacy Apc | Pharmacy | 155 S Delacey Ave, #1000, Pasadena, CA 91105 | 2016-02-16 |
| 1184022188 | Mintwood Pharmacueticals, Inc. | Pharmacy | 455 N Lake Ave, Pasadena, CA 91101 | 2014-12-08 |
| 1295145605 | Bayshore Health Mart, Inc. | Pharmacy | 3315 Burke Rd Ste 100, Pasadena, TX 77504-1873 | 2014-05-07 |
| 1528498821 | Zna LLC | Pharmacy | 354 Mountain Rd Ste E, Pasadena, MD 21122-1158 | 2013-11-22 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.