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WAL-MART PHARMACY 30-3044
NPI 1285978692
Eyewear Supplier in Fort Worth, TX

Active since November 26, 2012CLIA 45D2125487 · Waiver
2900 RENAISSANCE SQUARE, FORT WORTH, TX 76105(817) 900-1912 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wal-mart Pharmacy 30-3044 NPPES

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

WAL-MART PHARMACY 30-3044 (NPI 1285978692) is a healthcare organization registered as an eyewear supplier in Fort Worth, Texas and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Amy Powers, Specialist, Plan Enrollment, as its authorized official.

NPPES Registry Identity

NPI1285978692
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address2900 RENAISSANCE SQUAREFort Worth, TX 76105
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(817) 900-1912
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialAmy PowersSpecialist, Plan Enrollment · (479) 204-0709
Enumeration DateNovember 26, 2012
✔ NPI 1285978692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
2900 RENAISSANCE SQUARE, Fort Worth, TX 76105
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Other Names 1

Doing Business AsWal-mart Pharmacy 30-3044

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.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 45D2125487

Walmart Pharmacy 10-3044 · Fort Worth, TX
Active · expires Feb 7, 2027
CLIA Number45D2125487
Laboratory TypePharmacy
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDanielle N. Hampton
Laboratory Phone(817) 900-1912
Laboratory LocationWalmart Pharmacy 10-30442900 Renaissance Square, Fort Worth, TX 76105
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-3044 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-3044

DMEPOS supplier · Fort Worth, TXOperated by Wal-Mart Stores Texas, LLC
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Does not accept Medicare assignment

Wal-Mart Pharmacy 10-3044 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)20610365
Medicare Participant SinceNovember 29, 2001
Supplier Location2900 Renaissance SqFort Worth, TX 76105
Phone(817) 900-1912
Supplier Specialties
Pharmacy Optician

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.

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 1285978692. It was assigned to this organization in the NPPES registry on November 26, 2012. The provider is doing business as Wal-Mart Pharmacy 30-3044.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 2900 Renaissance Square, Fort Worth, TX 76105. The listed phone number is (817) 900-1912.

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

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

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

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-3044 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 45D2125487) is associated with this NPI, valid through February 7, 2027. 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 Blue Cross and Blue Shield of Louisiana 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 November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.