WAL-MART STORES TEXAS LLC (NPI# 1922025105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922025105 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WALMART PHARMACY 10-0482 |
| Practice Address |
301 N Columbia Dr West Columbia TX 77486-2520 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9793456030 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
21586 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 167093701 | 05 | |
| PK | 2105160 | 01 | |
| TX | 470053 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0482 | 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 |
301 N COLUMBIA DR |
| City | WEST COLUMBIA |
| State | TX |
| Zip Code | 77486-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528617883 | Ndidi Godfrey | Pharmacist | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2019-09-10 |
| 1326527268 | Angela Elizabeth Hughes | Pharmacy | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2018-08-10 |
| 1144686262 | Boyang Lin | Pharmacist | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2016-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982969242 | Laura K. Kincannon | Dentist | 907 S. Columbia Dr., West Columbia, TX 77486 | 2012-07-11 |
| 1437310323 | Walgreen Co. | Pharmacy | 100 E Brazos Ave, West Columbia, TX 77486 | 2008-06-23 |
| 1821160409 | Terry L Driggers | Dentist | 505 Dance Drive, West Columbia, TX 77486 | 2006-11-15 |
| 1568560142 | Robert L. Coburn, D.c.,p.c. | Chiropractor | 211 N Columbia Dr, West Columbia, TX 77486-2518 | 2006-09-20 |
| 1700078995 | Robert Lee Coburn | Chiropractor | 211 N Columbia Dr, West Columbia, TX 77486-2518 | 2007-08-13 |
| 1770081028 | Sweeny Hospital District | Clinic/Center | 668 W Brazos Ave Ste 668, West Columbia, TX 77486-2616 | 2018-01-31 |
| 1922349174 | Falon Leshay Turner | Nurse Practitioner | 668 W Brazos Ave, West Columbia, TX 77486-2616 | 2013-03-13 |
| 1598178998 | Lisa Marie Schaubroeck | Nurse Practitioner | 668 W Brazos Ave, West Columbia, TX 77486-2616 | 2014-06-04 |
| 1386067304 | Virgust Justice Dykes | Physician Assistant | 668 W Brazos Ave, West Columbia, TX 77486-2616 | 2014-01-27 |
| 1508030354 | Barbara A Davenport | Midwife, Lay | 121 Draeger Dr, West Columbia, TX 77486-2619 | 2008-04-14 |
| Find all providers in zip 77486 | ||||
| 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 |
|---|---|---|---|---|
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1164987525 | True Health Investors | Pharmacy | 1628 Charleston Hwy, West Columbia, SC 29169-5050 | 2019-02-09 |
| 1346723004 | Eau Claire Coopertive Health Center, Inc. | Pharmacy | 407 North Brown St, West Columbia, SC 29169-5710 | 2018-09-10 |
| 1649670969 | Privilege Pharmacy Inc | Pharmacy | 3311 Platt Springs Rd, West Columbia, SC 29170-2203 | 2014-08-25 |
| 1750527834 | Pine Ridge Investors | Pharmacy | 634 A Pine Ridge Dr, West Columbia, SC 29172 | 2008-12-19 |
| 1437310323 | Walgreen Co. | Pharmacy | 100 E Brazos Ave, West Columbia, TX 77486 | 2008-06-23 |
| 1679674428 | Eckerd Corporation | Pharmacy | 2324 Sunset Blvd, West Columbia, SC 29169-4716 | 2006-09-26 |
| 1609979384 | South Carolina Cvs Pharmacy LLC | Pharmacy | 2908 Emanuel Church Rd, West Columbia, SC 29170-3010 | 2006-09-07 |
| 1285746602 | Triangle Pharmacy and Home Medical Equipment, Inc. | Pharmacy | 1239 D Ave, West Columbia, SC 29169-6307 | 2006-08-31 |
| 1215983952 | Mica Pharmacy LLC | Pharmacy | 3907 Edmund Hwy, West Columbia, SC 29170-1944 | 2006-05-25 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 77486 |
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.