WALMART PHARMACY 10-5889
NPI 1053655837
Pharmacy - Community/Retail Pharmacy in Dallas, TX

Active since November 19, 2012CLIA 45D2117702 · Waiver
9410 WEBB CHAPEL RD, DALLAS, TX 75220(972) 629-0029 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2023, Feb 15, 2017, Aug 31, 2016 and 1 more (4 updates tracked since 2016).

About Walmart Pharmacy 10-5889 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART PHARMACY 10-5889 (NPI 1053655837) is a healthcare organization registered as a community/retail pharmacy in Dallas, Texas and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1053655837
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address9410 WEBB CHAPEL RDDallas, TX 75220-6753
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-0709 · Fax (479) 277-4331
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateNovember 19, 2012
Last NPPES UpdateAugust 29, 20234 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1053655837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TX · 28363
Definition

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.

9410 WEBB CHAPEL RD, Dallas, TX 75220

Other Names 1

Doing Business AsWalmart Pharmacy 10-5889

Other Identifiers 3

Medicaid469044TX
Other2138060Pk
Medicaid1053655837TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2117702

Walmart Pharmacy 10-5889 · Dallas, TX
Active · expires Aug 21, 2026
CLIA Number45D2117702
Laboratory TypePharmacy
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorPamela Guevara
Laboratory Phone(972) 629-0029
Laboratory LocationWalmart Pharmacy 10-58899410 Webb Chapel Road, Dallas, TX 75220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services38 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
37 services37 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
14 services14 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-5889 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-5889

DMEPOS supplier · Dallas, TXOperated by Wal-Mart Stores Texas, LLC

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-5889 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20610089
Medicare Participant SinceNovember 29, 2001
Supplier Location9410 Webb Chapel RdDallas, TX 75220
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
9410 WEBB CHAPEL RD
DALLAS, TX 75220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores Texas LLC's NPI number?

The NPI number for Wal-Mart Stores Texas LLC is 1053655837. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Walmart Pharmacy 10-5889.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 9410 Webb Chapel Rd, Dallas, TX 75220. The listed phone number is (972) 629-0029.

What is Wal-Mart Stores Texas LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Wal-Mart Stores Texas LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-5889 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Wal-Mart Stores Texas LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2117702) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wal-Mart Stores Texas LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 54 other insurers list Wal-Mart Stores Texas LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores Texas LLC was last updated on August 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.