WAL-MART STORES TEXAS LLC (NPI# 1205387628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205387628 |
Entity Type | Organization |
Organization Name | WAL-MART STORES TEXAS LLC |
Other Organization Name | WALMART PHARMACY 10-7229 |
Practice Address |
1110 Sunland Park Drive El Paso TX 79922 |
Mailing Address |
702 Sw 8th St Ms 0445 Bentonville AR 72716-0445 |
Practice Telephone | 9153522815 |
Practice Fax Number | 9153522814 |
Mailing Telephone | 4792048550 |
Mailing Fax Number | 4792774331 |
Enumeration Date | 2016-10-20 |
Last Update Date | 2017-05-01 |
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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 471150 | 05 | |
PK | 2165906 | 01 |
Other Name | Type Code |
---|---|
Walmart Pharmacy 10-7229 | 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 |
1801344874 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1619 Ambler Ave, Abilene, TX 79601-2235 | 2016-09-19 |
1720436959 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 9809 University Ave, Lubbock, TX 79423-5301 | 2016-05-27 |
Street Address |
1110 SUNLAND PARK DRIVE |
City | EL PASO |
State | TX |
Zip Code | 79922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689220634 | Chad Condon Moltane | Counselor | 5048 Love Road, El Paso, TX 79922 | 2019-08-15 |
1164895462 | Jana Lynn Mccallister | Nurse Practitioner | 3801c Constitution, Suite 100, El Paso, TX 79922 | 2015-11-09 |
1689072233 | Smile Center for Kids I Pllc | Clinic/Center | 1050 Sundland Park Drive, Suite 200 B, El Paso, TX 79922 | 2014-12-15 |
1487098307 | Griselda Murguia | Speech-Language Pathologist | 716 Wakefield Ct., El Paso, TX 79922 | 2013-04-22 |
1013112549 | Mentis Neuro El Paso, LLC | Residential Treatment Facility, Physical Disabilities | 4360 Doniphan Drive, El Paso, TX 79922 | 2007-06-15 |
1821135997 | Alfredo Cedillo | Surgery | 769 Woodland Ave, El Paso, TX 79922 | 2007-01-30 |
1952478232 | Luis A. Todd | Pediatrics | 4371 Boy Scout Ln, El Paso, TX 79922 | 2006-11-29 |
1023261856 | Jesus Fernando Escarzaga | Radiology Practitioner Assistant | 4930 Osborne, Suite H, El Paso, TX 79922 | 2008-10-24 |
1922588052 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 4717 Osborne Dr Ste 100, El Paso, TX 79922-1035 | 2018-08-17 |
1194781864 | Guillermina Solis | Nurse Practitioner | 4930 Osborne Dr, Suitea, El Paso, TX 79922-1041 | 2006-04-21 |
Find all providers in zip 79922 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
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: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679124994 | American Specialty Pharmacy, Inc | Pharmacy | 1015 N Zaragoza Rd Ste C, El Paso, TX 79907-1822 | 2019-09-27 |
1205340569 | Albrighton Group Inc. | Pharmacy | 14087 Pebble Hills Blvd Apt 1022, El Paso, TX 79938-2674 | 2017-11-24 |
1649716465 | Mesa Pharma Inc | Pharmacy | 310 S Mesa Hills Dr Ste C, El Paso, TX 79912-5881 | 2017-01-18 |
1942757166 | Comprehensive Healthcare Services LLC | Pharmacy | 2931 George Dieter Dr Ste C, El Paso, TX 79936-2942 | 2016-09-06 |
1841644465 | Ez Scripts LLC | Pharmacy | 3028 Trawood Dr Ste D, El Paso, TX 79936 | 2016-04-20 |
1982026811 | Comprehensive Healthcare Services LLC | Pharmacy | 12371 Edgemere Blvd Ste 210, El Paso, TX 79938-4879 | 2014-01-13 |
1063756609 | El Paso County Hospital District | Pharmacy | 1485 George Dieter Dr Ste 107, El Paso, TX 79936-7650 | 2012-11-20 |
1245516954 | American Specialty Pharmacy Inc | Pharmacy | 1015 N Zaragoza Rd, El Paso, TX 79907-1822 | 2011-10-26 |
1679792980 | Hector G. Arredondo | Pharmacy | 3712 Alameda Ave, El Paso, TX 79905-2507 | 2007-04-25 |
1720119829 | El Paso County Hospital District | Pharmacy | 9839 Kenworthy St, El Paso, TX 79924-4402 | 2007-03-08 |
Find all providers in EL PASO |
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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.