WAL-MART STORES TEXAS LLC (NPI# 1306249107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306249107 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-7362 |
| Practice Address |
2035 Se 34th Ave Amarillo TX 79103-1705 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8065136391 |
| Practice Fax Number | 8065136392 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-10-07 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
29547 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2149119 | 01 | |
| TX | 470484 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-7362 | 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 |
2035 SE 34TH AVE |
| City | AMARILLO |
| State | TX |
| Zip Code | 79103-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295426 | Sheetal Reddy Asam | Pharmacist | 2035 Se 34th Ave, Amarillo, TX 79103-1705 | 2020-11-02 |
| 1003271321 | Tonya Olson | Pharmacist | 2035 Se 34th Ave, Amarillo, TX 79118 | 2015-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942770516 | Jessica Garcia | Licensed Vocational Nurse | 2904 S. Manhatten, Amarillo, TX 79103 | 2018-11-27 |
| 1760995633 | Ramona J Yarbrough | Nurse Practitioner | 2329 Ross-osage St., Amarillo, TX 79103 | 2017-11-14 |
| 1679929723 | Megan Maguire Marshall Scott | Family Medicine | Regence Health Network, 3113 Ross St., Amarillo, TX 79103 | 2016-05-08 |
| 1508151309 | Anastacia J Nix | Family Medicine | 2329 Ross Osage St, Amarillo, TX 79103 | 2011-06-09 |
| 1033346259 | Rosalinda I Barrera | Social Worker | 6010 Amarillo Boulevard West, Amarillo, TX 79103 | 2009-06-15 |
| 1326134453 | Larry Alton Barry | Dentist | 3300 East Ih-40, Suite J, Amarillo, TX 79103 | 2006-10-05 |
| 1104923283 | Lori Ann Eason | Optometrist | 3702 I-40 East, Amarillo, TX 79103 | 2006-09-20 |
| 1952818932 | Jordan Marie Blocker-gonzales | Behavior Technician | 6031 Bell St., Amarillo, TX 79103 | 2017-12-29 |
| 1104124304 | Amarillo Vision Specialists, P.a. | Optometrist | 3700 E Interstate 40, Amarillo, TX 79103 | 2011-03-11 |
| 1629277942 | Shauna M Thornhill | Optometrist | 3700 E Interstate 40, Amarillo, TX 79103 | 2007-07-16 |
| Find all providers in zip 79103 | ||||
| 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 |
|---|---|---|---|---|
| 1184070096 | Heal The City Pharmacy | Pharmacy | 604 S Tennessee St, Amarillo, TX 79106-8646 | 2016-05-10 |
| 1790140663 | Walgreens | Pharmacy | 4524 Tutbury Ct, Amarillo, TX 79119-6514 | 2015-12-21 |
| 1912293705 | Pro Med Pharmacies, Inc. | Pharmacy | 704 N Polk, Amarillo, TX 79107-5248 | 2011-06-21 |
| 1457494353 | Catching's Prescriptions Ltd | Pharmacy | 1900 S Coulter St Ste F, Amarillo, TX 79106-1793 | 2007-02-14 |
| 1881732816 | United Supermarkets, L.L.C. | Pharmacy | 4701 S Washington St, Amarillo, TX 79110-2619 | 2007-02-02 |
| 1447357942 | Cvs Pharmacy Inc | Pharmacy | 3340 S Western St, Amarillo, TX 79109-3242 | 2006-09-20 |
| 1699782573 | Walgreen Co | Pharmacy | 3320 Bell St, Amarillo, TX 79106-5013 | 2006-08-02 |
| 1730196619 | Walgreen Co | Pharmacy | 2601 S Georgia St, Amarillo, TX 79109-1904 | 2006-08-02 |
| 1235116161 | United Supermarkets LLC | Pharmacy | 5807 Sw 45th Ave Ste 100, Amarillo, TX 79109-5291 | 2005-12-30 |
| 1457352627 | Dick Storseth Inc | Pharmacy | 2600 Wolflin Vlg, Amarillo, TX 79109-1838 | 2005-08-09 |
| Find all providers in AMARILLO | ||||
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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.