WAL-MART STORES TEXAS LLC (NPI# 1255755393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255755393 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-4183 |
| Practice Address |
643 N Harvey Mitchell Pkwy Bryan TX 77807-1012 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9795999208 |
| Practice Fax Number | 9795999048 |
| Mailing Telephone | 4792771242 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-02-10 |
| 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 |
28988 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1255755393 | 05 | |
| PK | 2144239 | 01 | |
| TX | 469645 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-4183 | 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 |
643 N HARVEY MITCHELL PKWY |
| City | BRYAN |
| State | TX |
| Zip Code | 77807-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336389782 | Whole Vision Pa | Optometrist | 643 N Harvey Mitchell Pkwy, Bryan, TX 77807-1012 | 2009-02-25 |
| 1023620192 | Nancy Gadelsayed | Pharmacist | 643 N Harvey Mitchell Pkwy, Bryan, TX 77807-1012 | 2020-08-20 |
| 1760806806 | Wal-mart Stores Texas, LLC | Technician/Technologist | 643 N Harvey Mitchell Pkwy, Bryan, TX 77807-1012 | 2014-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982298 | Kaylee Jackson | Psychologist | 8441 Hwy 47, St 1100, Bryan, TX 77807 | 2020-05-05 |
| 1457972192 | Melina Renee Cavazos | Psychologist | 8441 Highway 47, Clinical Building 1, Suite 1100, Bryan, TX 77807 | 2020-05-05 |
| 1891324448 | Radhika Shah | Student in an Organized Health Care Education/Training Program | 8447 Riverside Pkwy, Bryan, TX 77807 | 2020-04-06 |
| 1588648059 | Jerral Dewayne Taylor | Psychologist | 8441 Riverside Parkway, Clinical Building 1, Suite 1100, Bryan, TX 77807 | 2005-11-30 |
| 1457332959 | Robert Andrew Harper | Psychiatry & Neurology | 8441 Riverside Pkwy, Cb1, Suite 1400, Bryan, TX 77807 | 2005-11-10 |
| 1851918700 | Texas A&m University System Health Science Center | Nursing Care | 8441 Riverside Parkway, Ms 1359, Bryan, TX 77807 | 2020-06-26 |
| 1285255919 | Namrata Nanavaty | Psychologist | 8441 Riverside Parkway, Bryan, TX 77807 | 2020-05-05 |
| 1801422571 | Emily Kirsten Haque | Student in an Organized Health Care Education/Training Program | 8447 Riverside Parkway, 3081 Health Professions Education Building, Bryan, TX 77807 | 2020-03-13 |
| 1447885991 | Carly Elizabeth Mccord | Psychologist | 8441 Riverside Pkwy, Cb 1, Suite 1100, Bryan, TX 77807 | 2020-03-05 |
| 1639259088 | John M Hettema | Psychiatry & Neurology | 8441 Riverside Parkway, Cb1, Suite 1100, Bryan, TX 77807 | 2006-10-17 |
| Find all providers in zip 77807 | ||||
| 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 |
|---|---|---|---|---|
| 1346863636 | Bryan Pharmacy LLC | Pharmacy | 4103 S Texas Ave Ste 216, Bryan, TX 77802-4043 | 2020-05-21 |
| 1952920076 | Kumud S Tripathy and Associates | Pharmacy | 2215 E Villa Maria Rd Ste 120, Bryan, TX 77802-2585 | 2020-04-09 |
| 1376647180 | Cvs Pharmacy Inc | Pharmacy | 3000 S Texas Ave, Bryan, TX 77802-3121 | 2006-09-12 |
| 1992808711 | Ohio Cvs Stores LLC | Pharmacy | 341 W High St, Bryan, OH 43506-1615 | 2006-09-07 |
| 1508811357 | Skico Inc | Pharmacy | 1425 E High St, Bryan, OH 43506-9494 | 2006-05-23 |
| 1831514298 | St Joseph Regional Health Ctr | Pharmacy | 2601 Osler Blvd, Bryan, TX 77802-2516 | 2014-02-21 |
| 1528104148 | Village Foods Ltd | Pharmacy | 3030 E 29th St, Suite 100, Bryan, TX 77802-2757 | 2007-01-30 |
| 1518066836 | Brookshire Brothers Inc | Pharmacy | 210 N Main St, Bryan, TX 77803-3236 | 2006-09-22 |
| 1801900899 | Rjmtz Pharmacy LLC | Pharmacy | 3201 University Dr E, Suite 145, Bryan, TX 77802-3475 | 2006-08-18 |
| 1619959681 | Cvs Pharmacy Inc | Pharmacy | 2300 De Lee St, Bryan, TX 77802-2815 | 2005-11-16 |
| Find all providers in BRYAN | ||||
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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.