WAL-MART STORES TEXAS LLC (NPI# 1295869899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295869899 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-3828 |
| Practice Address |
4006 Estes Pkwy Longview TX 75603-1712 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9032342083 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2007-03-15 |
| 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 |
25439 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2100008 | 01 | |
| TX | 470922 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-3828 | 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 |
4006 ESTES PKWY |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75603-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528199882 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4006 Estes Pkwy, Longview, TX 75603-1712 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639681711 | Cuc Linh Thi Huynh | Pharmacist | 4006 Estes Pwky, Longview, TX 75603 | 2017-10-30 |
| 1912109067 | Willie Edward Boyd | Assisted Living Facility | 315 East Cliffwood, Longview, TX 75603 | 2007-06-01 |
| 1780184275 | Latonya Toliver | Licensed Vocational Nurse | 5091 Fm 2011, Longview, TX 75603-3126 | 2018-02-20 |
| 1699970020 | Summit Sitter Services, Inc. | Home Health | 4206 Fm 2011, Longview, TX 75603-3196 | 2007-06-16 |
| 1184058067 | Regina A. Phillips | Community Health Worker | 660 Pleasant Green Rd, Longview, TX 75603-4342 | 2013-08-27 |
| 1265913719 | Dianne Renee Sprayberry | Licensed Vocational Nurse | 2073 Fm 2011 # 91, Longview, TX 75603-4344 | 2018-08-23 |
| 1366957961 | Willetta Denice Brown | Assisted Living Facility | 2508 S Main St, Longview, TX 75603-5011 | 2017-12-05 |
| 1265834154 | Garrett's Healthcare Services | Clinic/Center | 1670 Fm 2906, Longview, TX 75603-6331 | 2014-09-23 |
| 1467687475 | Kyndal Kare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 794 Pegues Rd, Longview, TX 75603-6616 | 2009-05-19 |
| 1093346090 | Longview Professional Assistance | Non-emergency Medical Transport (VAN) | 693 Pleas Cocke Rd, Longview, TX 75603-7431 | 2020-01-28 |
| Find all providers in zip 75603 | ||||
| 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 |
|---|---|---|---|---|
| 1598168924 | Ypvp Inc. | Pharmacy | 1751 W Loop 281, Longview, TX 75604-2734 | 2014-09-30 |
| 1265860621 | Medical Plaza Pharmacy | Pharmacy | 707 E Marshall Ave Ste 7, Longview, TX 75601-5575 | 2013-10-23 |
| 1457415622 | Walgreen Co | Pharmacy | 2939 Ocean Beach Hwy, Longview, WA 98632-3513 | 2006-12-21 |
| 1164526984 | Cvs Pharmacy Inc | Pharmacy | 1754 W Loop 281, Longview, TX 75604-2733 | 2006-09-12 |
| 1083718894 | Cvs Pharmacy Inc | Pharmacy | 119 W Marshall Ave, Longview, TX 75601-5340 | 2006-09-12 |
| 1306893417 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave, Longview, WA 98632-3166 | 2006-05-27 |
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|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.