NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

WAL-MART STORES TEXAS LLC
4534 E HWY 83
RIO GRANDE CITY, TX78582
 Phone: 956-487-0711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WAL-MART STORES TEXAS LLC

NPI # 1245258086
LBN Legal business name WAL-MART STORES TEXAS LLC
Authorized official KIMBERLY CANONIC - (SENIOR DIRECTOR, ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 06/09/2025 - About 12 months ago
Identifiers
TX License # 21768
TX Medicaid 166507701
TX Medicaid 470182
Other 2100809 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for WAL-MART STORES TEXAS LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for WAL-MART STORES TEXAS LLC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Suppliers
CANTU DME
7356 E. HWY 83
RIO GRANDE CITY, TX
WAL-MART STORES TEXAS, LLC
1705 EXPRESSWAY 83
PENITAS, TX
ABC DURABLE MEDICAL EQUIPMENT INC
919 N SLABAUGH ST
MISSION, TX
JOSE ESCOBEDO JR
5221 N 10TH ST SUITE 205
MCALLEN, TX
ARDS,LLC
5121 S JACKSON RD
EDINBURG, TX
SAN RAPHEL PHARMACY
1337 EAST PALMA VISTA DRIVE SUITE B
PALM VIEW, TX
MARIEL GUERRA, JR
1101 E DALLAS AVE
MCALLEN, TX
NEW SUNRISE MEDICAL SUPPLIES
306 E SCHUNIOR STREET
EDINBURG, TX
STAR PLUS DME LLC
610 N BROADWAY STE B UNIT 5
ELSA, TX
PHARMACY STATION LLC
640 S EXPRESSWAY
RAYMONDVILLE, TX

  View all Suppliers
v2.403