Wal-Mart Stores Texas LLC
Pharmacy, Community/Retail Pharmacy in Garland, TX. Organization (NPI-2).
Details
- NPI
- 1023035151
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores Texas LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- Aug 30, 2023
- Last updated
- Aug 30, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 21629 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-2975 (Doing Business As)
Practice location
3959 Broadway BlvdGarland, TX 75043-2586
Phone 972-926-6155
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-1238 · Fax 479-277-4331
Authorized official
Sarah Little
Director Of Healthcare Contracting
4792772500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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