WAL-MART STORES TEXAS LLC (NPI# 1093109589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093109589 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-4453 |
| Practice Address |
4715 Wesley St Greenville TX 75401-5647 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9032595292 |
| Practice Fax Number | 9032595291 |
| Mailing Telephone | 4792734288 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-03-24 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
29854 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2152321 | 01 | |
| TX | 469578 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-4453 | 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 |
4715 WESLEY ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-5647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255501 | Dale Park | Pharmacist | 4715 Wesley St, Greenville, TX 75401-5647 | 2020-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| 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 |
|---|---|---|---|---|
| 1275159758 | Hunt's Pharma Rx LLC | Pharmacy | 2934 W Interstate 30, Suite A, Greenville, TX 75402 | 2020-06-22 |
| 1912539818 | Greenville Pharmacy LLC | Pharmacy | 4209 Wesley St, Greenville, TX 75401-5637 | 2020-02-08 |
| 1285198283 | Pitt County Memorial Hospital Inc | Pharmacy | 2100 Stantonsburg Rd Rm 1ph-160, Greenville, NC 27834-2818 | 2019-01-24 |
| 1346713658 | Europa Enterprise LLC | Pharmacy | 2394 W Interstate 30 Ste A, Greenville, TX 75402 | 2019-01-09 |
| 1982173126 | Levee Drugs Inc | Pharmacy | 202 E Starling St # 1, Greenville, MS 38701-4707 | 2018-11-16 |
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1184127102 | Snyder Partners, LLC | Pharmacy | 4000 Wesley St Ste G, Greenville, TX 75401-9015 | 2018-03-15 |
| 1508382839 | Mrvm LLC | Pharmacy | 1701 Augusta St, Greenville, SC 29605-2925 | 2017-08-18 |
| 1992228902 | Walgreen Co | Pharmacy | 2616 Anderson Rd, Greenville, SC 29611-6020 | 2017-07-21 |
| 1659739118 | Meiya LLC | Pharmacy | 543 Haywood Rd Ste 4, Greenville, SC 29607-2710 | 2016-01-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on WAL-MART STORES TEXAS LLC.
| 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.