WAL-MART STORES TEXAS LLC (NPI# 1497061485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497061485 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-3763 |
| Practice Address |
12236 Montana Ave El Paso TX 79938-4851 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9159216879 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2010-08-27 |
| 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 |
27144 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 469650 | 05 | |
| PK | 2126661 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-3763 | 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 |
12236 MONTANA AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79938-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880384 | Eyasu Teshale | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2020-10-30 |
| 1699258822 | Annette Villalobos | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2018-09-13 |
| 1083166540 | Stephanie Leanne De Santiago | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2016-11-01 |
| 1215301445 | Jackie Ann Perriello | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2015-11-27 |
| 1447568050 | Wal-mart Stores Texas, LLC | Technician/Technologist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2010-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047795 | Brooke Raanne Beaver | Behavioral Analyst | Wells Fargo Plaza, Kansas St # 700, El Paso, TX 79938 | 2019-11-15 |
| 1386109635 | Judith Roman | Nurse Practitioner | 12810 Edgemere, El Paso, TX 79938 | 2019-01-31 |
| 1033681564 | Project Vida Health Center | Clinic/Center | 3216 Tim Foster Street, El Paso, TX 79938 | 2018-12-21 |
| 1851868384 | Possibilities Speculation, Pllc | Dentist | 2260 N Zaragoza Rd Unit A112, El Paso, TX 79938 | 2018-11-02 |
| 1578030276 | Connor Family Dentistry East Pllc | Dentist | 1920 N. Zaragoza Rd., Suite 107, El Paso, TX 79938 | 2018-10-31 |
| 1952895039 | Marlen Hernandez Cortez | Behavior Technician | 15165 Snohomish Loop, El Paso, TX 79938 | 2018-06-21 |
| 1497287155 | Assisting Alliance L.L.C. | Physician Assistant | 14048 Oso Rock Way, El Paso, TX 79938 | 2017-03-31 |
| 1619428703 | Sege Medical PC | Family Medicine | 2260 N Zaragoza, Suite A118, El Paso, TX 79938 | 2016-10-24 |
| 1891148110 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12051 Tierra Este Rd, El Paso, TX 79938 | 2016-07-21 |
| 1639538077 | Early Bird Pediatric Therapy Clinic, Inc | Occupational Therapist | 2114 N Zaragoza Rd Ste C1, El Paso, TX 79938 | 2016-02-13 |
| Find all providers in zip 79938 | ||||
| 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 |
|---|---|---|---|---|
| 1942862164 | Larjems Investments LLC | Pharmacy | 1568 Joe Battle Blvd Ste 107, El Paso, TX 79936-8905 | 2019-07-09 |
| 1659932267 | Rio Grande Pharmacy, LLC | Pharmacy | 5500 Doniphan Dr. Ste 201-202, El Paso, TX 79932 | 2019-06-25 |
| 1326514233 | Amerkian,inc. | Pharmacy | 4501 Hercules Ave Ste B, El Paso, TX 79904-3310 | 2018-10-18 |
| 1023561487 | East El Paso Physicians' Medical Center, LLC | Pharmacy | 1400 George Dieter Dr Ste 190, El Paso, TX 79936-7656 | 2016-08-02 |
| 1770973406 | Pro Kima, LLC | Pharmacy | 1891 N Lee Trevino Dr Ste 200, El Paso, TX 79936-4132 | 2015-02-03 |
| 1003226093 | Wal-mart Stores Texas LLC | Pharmacy | 101 E Redd Rd, El Paso, TX 79932-1981 | 2014-04-30 |
| 1518213255 | Cvs Pharmacy Inc | Pharmacy | 1901 George Dieter Dr, El Paso, TX 79936-3855 | 2012-07-31 |
| 1861532368 | Tigua Pharmacy Inc | Pharmacy | 8269 N Loop Dr, El Paso, TX 79907-4234 | 2007-02-07 |
| 1194887349 | Alameda Thrifty Pharmacy Inc | Pharmacy | 4900 Alameda Ave, El Paso, TX 79905-2802 | 2006-12-14 |
| 1609952621 | Cvs Pharmacy Inc | Pharmacy | 745 N Zaragoza Rd, El Paso, TX 79907-4751 | 2006-10-31 |
| Find all providers in EL PASO | ||||
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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.