WAL-MART STORES TEXAS LLC
NPI 1104843382
Pharmacy - Community/Retail Pharmacy in Cuero, TX

Active since July 16, 2006
1202 E BROADWAY ST, CUERO, TX 77954(361) 275-9260 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 30, 2025, Feb 15, 2017, Aug 25, 2016 (3 updates tracked since 2016).

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About Wal-mart Stores Texas Llc NPPES

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

WAL-MART STORES TEXAS LLC (NPI 1104843382), doing business as Walmart Pharmacy 10-0385, is a community/retail pharmacy in Cuero, Texas and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.Information from the official NPPES registry record, last updated May 30, 2025.

NPPES Registry Identity

NPI1104843382
Entity TypeOrganization
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address1202 E BROADWAY STCuero, TX 77954-2124
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238 · Fax (479) 277-4331
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 30, 2025
NPI 1104843382 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacy · Community/Retail Pharmacy

Taxonomy 3336C0003X · Suppliers

Licensed in TX · 21799

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;… Show more

Also Listed

Pharmacy

Taxonomy 333600000X · Suppliers

1202 E BROADWAY ST, Cuero, TX 77954

Also on File with NPPES

Other Names1
Walmart Pharmacy 10-0385 (Doing Business As)
Other Identifiers2
2105027 (Other, Pk)
468585 (Medicaid, TX)
Last updated in NPPES on May 30, 2025 · 3 updates tracked since enumeration.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 211 times for 208 patients

Administration of pneumococcal vaccine

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.

This service was performed 25 times for 25 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 207 times for 204 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

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.

This service was performed 21 times for 21 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20612081
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Reviews for WAL-MART STORES TEXAS LLC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pharmacist
1202 E BROADWAY ST
CUERO, TX 77954
Pharmacist
1202 E BROADWAY ST
CUERO, TX 77954
Pharmacist
1202 E BROADWAY ST
CUERO, TX 77954

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104843382, enumerated as an "organization" on July 16, 2006.

The provider is located at 1202 E BROADWAY ST CUERO, TX 77954 and the phone number is (361) 275-9260.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.