WAL-MART STORES TEXAS LLC
NPI 1215956222
Pharmacy - Community/Retail Pharmacy in Carrollton, TX

Active since July 19, 2006
1025 W TRINITY MILLS RD, CARROLLTON, TX 75006(800) 273-3455(800) 406-8976 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2025, Jul 19, 2018, May 17, 2018 and 3 more (6 updates tracked since 2016).

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 1215956222), doing business as Walmart Pharmacy 10-2625, is a healthcare organization registered as a community/retail pharmacy in Carrollton, Texas and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1215956222
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address1025 W TRINITY MILLS RDCarrollton, TX 75006-1375
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1242 · Fax (479) 277-4331
Fax(800) 406-8976
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 19, 2006
Last NPPES UpdateJune 12, 20256 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1215956222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses Licensed in AR · OS01265 Licensed in OK · 99-200 Licensed in NJ · 28RO00006000 Licensed in KY · TX377 Licensed in SD · 400-0003 Licensed in NE · 126 Licensed in MN · 261465 Licensed in KS · 22-01391 Licensed in MT · PHA-MOP-LIC-37 Licensed in MO · 2002012999 Licensed in TN · 3242 Licensed in IL · 054.013662 Licensed in LA · 4785OS Licensed in IN · 64000067A Licensed in MS · 03779/7.1
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.

1025 W TRINITY MILLS RD, Carrollton, TX 75006

Other Names 1

Doing Business AsWalmart Pharmacy 10-2625

Other Identifiers 18

Medicaid100243640DTX
Medicaid1215956222MT
Medicaid7100037990KY
Medicaid1020965500001PA
Medicaid166999407AR
Medicaid3810011244WV
Medicaid0162973TX
Medicaid1215956222VA
Medicaid4582517TN
Medicaid470020TX
Medicaid1215956222TX
Other2095511Pk
MedicaidPH386TX
Medicaid0162973NJ
Medicaid200538680ATX
Medicaid6031421WA
Medicaid613556TX
Medicaid7T2283SC

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-2625 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-2625

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

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-2625 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)20612027
Medicare Participant SinceNovember 29, 2001
Supplier Location1025 W Trinity Mills RdCarrollton, TX 75006
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 17

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

Pharmacist
1025 W TRINITY MILLS RD
CARROLLTON, TX 75006
Pharmacist
1025 W TRINITY MILLS RD
CARROLLTON, TX 75006
Pharmacist
1025 W TRINITY MILLS RD
CARROLLTON, TX 75006
Pharmacist
1025 W TRINITY MILLS RD
CARROLLTON, TX 75006
Pharmacist
1025 W TRINITY MILLS RD
CARROLLTON, TX 75006
Pharmacist
1025 W TRINITY MILLS RD
CARROLLTON, TX 75006
Pharmacist
1025 W TRINITY MILLS RD
CARROLLTON, TX 75006
Pharmacist
1025 W TRINITY MILLS RD
CARROLLTON, TX 75006

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 1215956222. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Walmart Pharmacy 10-2625.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 1025 W Trinity Mills Rd, Carrollton, TX 75006. The listed phone number is (800) 273-3455.

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 10-2625 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.

What insurance does Wal-Mart Stores Texas LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 17 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 June 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.