WAL-MART STORES TEXAS LLC (NPI# 1174540348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174540348 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-1837 |
| Practice Address |
9451 Fm 1960 Bypass Rd W Humble TX 77338-4035 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2815408861 |
| 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 |
21875 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2100554 | 01 | |
| TX | 469729 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1837 | 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 |
9451 FM 1960 BYPASS RD W |
| City | HUMBLE |
| State | TX |
| Zip Code | 77338-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214563 | Tracey Pham | Pharmacist | 9451 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2020-10-26 |
| 1700436417 | Haseeb Ayube Bacchus | Optometrist | 9451 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2019-09-14 |
| 1962824045 | Arslan Tajammul | Optometrist | 9451 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2014-01-09 |
| 1255423802 | Wal-mart Stores Texas, Lp | Technician/Technologist | 9451 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1942818240 | Karla Marize Howard | Nurse Practitioner | 18980 W. Memorial Dr. Suite 100 Plaza 2, Humble, TX 77338 | 2020-07-22 |
| 1902437981 | Houston Mint Dentistry, Pllc | Dentist | 9509 Fm 1960 Ste 200, Humble, TX 77338 | 2020-01-29 |
| 1053957514 | Sherrie Conn | Technician | 20430 Moon Walk Dr, Humble, TX 77338 | 2019-11-20 |
| 1235772450 | Madeline Rigler | Dietitian, Registered | 18980 N Memorial Dr Ste 100, Humble, TX 77338 | 2019-10-21 |
| 1982254025 | Daira Lynn Springer | Registered Nurse | 18980 W Memorial Dr., Suite 100, Humble, TX 77338 | 2019-09-19 |
| 1306494687 | Strategic Development & Instruction | Counselor | 9802 Farm To Market 1960 Bypass, Humble, TX 77338 | 2019-08-29 |
| 1124689732 | Caroline Elizabeth Le | Dentist | 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 | 2019-06-25 |
| 1699246181 | Deerbrook Asc LLC | Clinic/Center | 18450 Hwy 59 Suite 101-b, Humble, TX 77338 | 2018-12-10 |
| 1760950141 | Mckay Health Care LLC | Skilled Nursing Facility | 19279 Mckay Dr., Humble, TX 77338 | 2018-11-05 |
| Find all providers in zip 77338 | ||||
| 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 |
|---|---|---|---|---|
| 1033560735 | Usps Retail Pharmacy, LLC | Pharmacy | 8901 Fm 1960 Bypass West, Suite 301, Suite 301, Humble, TX 77338 | 2016-06-24 |
| 1982041299 | A.j. & H. International, Inc | Pharmacy | 18648 Mckay Drive, Suite 110, Humble, TX 77338 | 2013-05-28 |
| 1831473867 | Scriptcare Pharmacy LLC | Pharmacy | 9441 Fm 1960 Bypass Rd W, Suite 200, Humble, TX 77338-4089 | 2011-10-10 |
| 1760613640 | Deerbrook Pharmacy, LLC | Pharmacy | 9816 Memorial Blvd Ste 105, Humble, TX 77338-4205 | 2009-07-27 |
| 1508009994 | Jovic Pharmacy Inc. | Pharmacy | 9816 Memorial Blvd Ste 203, Humble, TX 77338-4206 | 2009-04-14 |
| 1982765053 | Ks Pharm LLC | Pharmacy | 8233 N. Sam Houston Pkwy E., Humble, TX 77396 | 2006-12-13 |
| 1861599367 | Cvs Pharmacy Inc | Pharmacy | 5440 Atascocita Rd, Humble, TX 77346-2839 | 2006-09-20 |
| 1568566388 | Cvs Pharmacy Inc | Pharmacy | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2006-09-12 |
| 1922015981 | Walgreen Co | Pharmacy | 19639 Eastex Fwy, Humble, TX 77338-3500 | 2006-08-02 |
| 1720457518 | Pro Script Solutions Pharmacy, LLC | Pharmacy | 6730 Atascocita Rd, Suite 111, Humble, TX 77346-1993 | 2015-09-22 |
| Find all providers in HUMBLE | ||||
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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.