WAL-MART STORES TEXAS LLC (NPI# 1972924876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972924876 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WAL-MART PHARMACY 10-3169 |
| Practice Address |
11923 Us Highway 290 E Manor TX 78653-4321 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5126519128 |
| Practice Fax Number | 5126519101 |
| Mailing Telephone | 4792040709 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2013-12-18 |
| 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 |
28937 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 469564 | 05 | |
| PK | 2143532 | 01 | |
| TX | 1972924876 | 05 |
| Other Name | Type Code |
|---|---|
| Wal-Mart Pharmacy 10-3169 | 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 |
11923 US HIGHWAY 290 E |
| City | MANOR |
| State | TX |
| Zip Code | 78653-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659556 | Ismail Abdillahi | Pharmacist | 11923 Us Highway 290 E, Manor, TX 78653-4321 | 2020-11-04 |
| 1477154029 | Dieu Mai | Pharmacist | 11923 Us Highway 290 E, Manor, TX 78653-4321 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293112 | Angelica Marie Griffin | Residential Treatment Facility, Emotionally Disturbed Children | 12500 Shadowglen Trace 3204, Manor, TX 78653 | 2020-04-06 |
| 1215591391 | Manor Total Dental and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 11828 Ring Dr. Ste 102, Manor, TX 78653 | 2019-04-24 |
| 1932698412 | New Hope Ranch | Substance Abuse Rehabilitation Facility | 11908 Sparks Road, Manor, TX 78653 | 2018-05-09 |
| 1649788332 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 12700 Lexington Street, Suite 220, Manor, TX 78653 | 2018-01-16 |
| 1760998934 | Open Hearts & Open Doors Group Home Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11605 Mill Ridge Trce, Manor, TX 78653 | 2017-12-22 |
| 1184089443 | Manor Family Orthodontics, Pllc | Dentist | 11828 Ring Dr, Ste 102, Manor, TX 78653 | 2015-12-30 |
| 1225424542 | Rsvp Healthcare Alliance, LLC | Pharmacy | 14008 Shadow Glen Blvd, Ste 102, Manor, TX 78653 | 2015-04-14 |
| 1023410560 | Demitra Stephens Haynes | In Home Supportive Care | 18116 Flathead Dr, Manor, TX 78653 | 2014-09-16 |
| 1922429836 | Wal-mart Stores Texas LLC | Technician/Technologist | 11923 Us Hwy 290 E, Manor, TX 78653 | 2013-12-18 |
| 1710326434 | Lizania Montero | Dentist | 11300 Hwy 290 E, Suite 200, Manor, TX 78653 | 2013-06-15 |
| Find all providers in zip 78653 | ||||
| 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 |
|---|---|---|---|---|
| 1639704893 | Rxthat, Inc. | Pharmacy | 14008 Shadowglen Blvd Ste 102a, Manor, TX 78653-3406 | 2020-03-09 |
| 1225424542 | Rsvp Healthcare Alliance, LLC | Pharmacy | 14008 Shadow Glen Blvd, Ste 102, Manor, TX 78653 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.