WAL-MART STORES TEXAS LLC (NPI# 1215475736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215475736 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-4512 |
| Practice Address |
22850 Morton Ranch Rd Katy TX 77449-2154 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3463078161 |
| Practice Fax Number | 3463078160 |
| Mailing Telephone | 4792041242 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | SARAH LITTLE (DIR. HEALTHCARE CONTRACT & ENROLLME) |
| Authorized Official Telephone | 4792771242 |
| 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 |
|---|---|---|---|
| PK | 2168648 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-4512 | 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 |
| 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 |
| 1720436959 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 9809 University Ave, Lubbock, TX 79423-5301 | 2016-05-27 |
| Street Address |
22850 MORTON RANCH RD |
| City | KATY |
| State | TX |
| Zip Code | 77449-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625009 | Martin Ndum | Pharmacist | 22850 Morton Ranch Rd, Katy, TX 77449-2154 | 2019-08-21 |
| 1003463795 | Himani Patel | Pharmacist | 22850 Morton Ranch Rd, Katy, TX 77449-2154 | 2019-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454507 | Mariah Maldonado | Behavior Technician | 2502 Providence Point Dr., Katy, TX 77449 | 2020-10-12 |
| 1053927863 | Helping Hands Senior Care, LLC | Home Health | 20135 Cable Brook Ln, Katy, TX 77449 | 2020-09-17 |
| 1730706953 | Erliz Jessenia Maldonado | Nurse Practitioner | 3919 N Fry Road, Katy, TX 77449 | 2020-07-03 |
| 1154956225 | Jptx Pllc | Dentist | 3011 West Grand Parkway North, Suite 200, Katy, TX 77449 | 2020-03-09 |
| 1831737345 | Tmd Services LLC | Non-emergency Medical Transport (VAN) | 21022 Iris Bloom Street, Katy, TX 77449 | 2019-12-16 |
| 1558911081 | Samatha Renee Morris | Technician | 27427 Slate Crossing Lane, Katy, TX 77449 | 2019-09-17 |
| 1275188518 | Sanitas Medical Center of Texas Pa | Clinic/Center | 2610 N. Mason Rd, Katy, TX 77449 | 2019-08-05 |
| 1265087472 | Sanitas Medical Center of Texas Pa | Family Medicine | 2610 North Mason Road, Katy, TX 77449 | 2019-08-05 |
| 1255993192 | Chelsea Rae Mitchell | Counselor | 21606 Ivory Gate Ln, Katy, TX 77449 | 2019-07-01 |
| 1376104992 | Vision Republic, Pllc | Optometrist | 23021 Mortan Ranch Rd., Ste D, Katy, TX 77449 | 2019-06-25 |
| Find all providers in zip 77449 | ||||
| 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 |
|---|---|---|---|---|
| 1457818189 | Chapelli Corp | Pharmacy | 5205 S Mason Rd Ste 180, Katy, TX 77450-7144 | 2019-02-28 |
| 1518462084 | Regents Group LLC | Pharmacy | 6193 Highway Blvd Ste 202, Katy, TX 77494-1131 | 2018-03-27 |
| 1174040612 | Memorial Hermann Pharmacy Services LLC | Pharmacy | 21501 Park Row Dr Ste 200, Katy, TX 77449-2425 | 2017-08-25 |
| 1528508439 | Kroger Texas Lp | Pharmacy | 9806 Gaston Rd, Katy, TX 77494-7648 | 2017-02-27 |
| 1043674518 | Greenbusch Pharmacy Inc | Pharmacy | 25757 Westheimer Pkwy Ste 150, Katy, TX 77494-7669 | 2016-04-11 |
| 1932560182 | Aaa Rx Pharmacy LLC | Pharmacy | 569 S Mason Rd, Katy, TX 77450-2437 | 2016-03-16 |
| 1376935502 | Rapid Pharmacy LLC. | Pharmacy | 595 S Mason Rd, Katy, TX 77450-2437 | 2015-02-25 |
| 1831587963 | Park Specialty Compounding Pharmacy Pllc | Pharmacy | 23510 Kingsland Blvd Ste 104, Katy, TX 77494-4126 | 2014-12-23 |
| 1538580535 | Wellmart Pharmacy Inc | Pharmacy | 403 W Grand Pkwy S Ste S, Ste E, Katy, TX 77494-8358 | 2013-12-18 |
| 1104167774 | Mca Pharmacy, LLC | Pharmacy | 21820 Katy Fwy Ste 110, Katy, TX 77449 | 2013-03-07 |
| Find all providers in KATY | ||||
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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.