WAL-MART STORES TEXAS LLC (NPI# 1396171989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396171989 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-7263 |
| Practice Address |
1 Lone Star Pass Ste 46 San Antonio TX 78264-3650 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2106284012 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2013-09-16 |
| 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 |
28928 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2142116 | 01 | |
| TX | 1396171989 | 05 |
| Other Name | Type Code |
|---|---|
| WalMart Pharmacy 10-7263 | 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 |
1 LONE STAR PASS STE 46 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78264-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134333958 | Tracy C Timmer | Nurse Practitioner | 1 Lone Star Pass Ste 46, San Antonio, TX 78264-3650 | 2007-05-10 |
| 1831610294 | Taryn Frisce | Physical Therapist | 1 Lone Star Pass Ste 46, San Antonio, TX 78264-3650 | 2017-07-06 |
| 1578949442 | Stephanie Md Aguilar | Optometrist | 1 Lone Star Pass Ste 46, San Antonio, TX 78264 | 2015-08-03 |
| 1467772095 | Stephanie Marie Fofi | Family Medicine | 1 Lone Star Pass Ste 46, San Antonio, TX 78264-3650 | 2010-06-05 |
| 1972737047 | Robert E Carroll | Preventive Medicine | 1 Lone Star Pass Ste 46, San Antonio, TX 78264-3650 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609192459 | Nhi Balhorn | Pharmacist | 1 Lone Star Pass Building 46, San Antonio, TX 78264 | 2010-04-19 |
| 1710282850 | Terrence Lynn Morehouse | Physician Assistant | 1 Lone Star Pass, San Antonio, TX 78264-3413 | 2011-01-21 |
| 1649458589 | Dolly Thomas | Psychologist | 3850 S Loop 1604 W, Suite 7, San Antonio, TX 78264-3418 | 2008-02-01 |
| 1548271851 | Michelle A Beninato | Nurse Practitioner | 1 Lone Star Pass, Bldg 46, San Antonio, TX 78264-3638 | 2006-08-11 |
| 1588013551 | Progressivehealth, LLC | Clinic/Center | 1 Lone Star Pass, San Antonio, TX 78264-3638 | 2016-06-09 |
| 1336501840 | Jessica Rae Arizola | Physical Therapy Assistant | 1 Lone Star Pass, Bldg 46, San Antonio, TX 78264-3638 | 2016-03-23 |
| 1578891883 | Mary A Ramos | Pharmacist | 1 Lone Star Pass, Bldg 46, San Antonio, TX 78264-3638 | 2009-11-24 |
| 1487802989 | Carolyn Perez | Physical Therapy Assistant | 1 Lone Star Pass, Building 46, San Antonio, TX 78264-3638 | 2008-09-09 |
| 1578736179 | Bethany S Gardner | Occupational Therapist | 1 Lone Star Pass, Bldg 46, San Antonio, TX 78264-3638 | 2008-04-04 |
| 1356561401 | Lorena P Pretto | Dentist | 1 Lone Star Pass, Bldg 46, San Antonio, TX 78264-3638 | 2007-04-30 |
| Find all providers in zip 78264 | ||||
| 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 |
|---|---|---|---|---|
| 1710502067 | West Lake Rx LLC | Pharmacy | 1255 Sw Loop 410 Ste 120, San Antonio, TX 78227-1666 | 2020-06-12 |
| 1396381224 | Texas State Pharmacy LLC | Pharmacy | 1314 E Sonterra Blvd Ste 2102, San Antonio, TX 78258-4286 | 2019-11-26 |
| 1538702956 | Zenith Rx, LLC | Pharmacy | 607 S Ww White Rd, San Antonio, TX 78220-1732 | 2019-10-18 |
| 1093366106 | Medcentrix Pharmacy, LLC | Pharmacy | 5720 Bandera Rd Ste 4b, San Antonio, TX 78238-1950 | 2019-09-20 |
| 1821648361 | Pharmacy 2 Plus LLC | Pharmacy | 9026 Culebra Rd Ste 107, San Antonio, TX 78251-2881 | 2019-09-17 |
| 1295381473 | Phyzdata Healthcare Solutions, LLC | Pharmacy | 3602 Paesanos Pkwy # 300a, San Antonio, TX 78231-1277 | 2019-08-14 |
| 1477108595 | Medcentral Pharmacy, LLC | Pharmacy | 8118 Fredericksburg Rd, San Antonio, TX 78229-3312 | 2019-08-06 |
| 1326600909 | Cvs Pharmacy Inc. | Pharmacy | 13343 Culebra Rd, San Antonio, TX 78253-6901 | 2019-07-03 |
| 1821657149 | Om Healthcare LLC | Pharmacy | 602 Bandera Rd, San Antonio, TX 78228-5203 | 2019-06-10 |
| 1831652296 | San Antonio Arthritis Care Centers Pllc | Pharmacy | 8527 Village Dr Ste 103, San Antonio, TX 78217-5507 | 2019-04-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78264 |
Please comment or provide details below to improve the information on WAL-MART STORES TEXAS LLC.
| 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.