WAL-MART STORES TEXAS LLC NPI 1295752343
Pharmacy - Community/Retail Pharmacy in Hurst, TX

About WAL-MART STORES TEXAS LLC

Wal-mart Stores Texas Llc is a provider established in Hurst, Texas operating as a Pharmacy with a focus in community/retail pharmacy . The NPI number of Wal-mart Stores Texas Llc is 1295752343 and was assigned on July 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 22680 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Walmart Pharmacy 10-5080. The authorized official of this NPI record is Sarah Little (Director Of Healthcare Contracting)

NPI
1295752343
Provider NameWAL-MART STORES TEXAS LLC
Location Address1732 PRECINCT LINE RD HURST, TX 76054
Location Phone(817) 503-7731
Mailing Address702 SW 8TH ST BENTONVILLE, AR 72716
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameWALMART PHARMACY 10-5080
Other Name TypeDoing Business As (3)
Enumeration Date07-16-2006
Last Update Date02-15-2017



Wal-mart Stores Texas Llc is a medicare supplier with PTAN 4360370308 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Ostomy Supplies or Prosthetic Lenses: Conventional Eyeglasses or Enteral Nutrients or Surgical Dressings.

The CLIA number of Wal-mart Stores Texas Llc is 45D2117394 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Wal-mart Stores Texas Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.22680
License StateTX
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

WAL-MART STORES TEXAS LLC
1732 PRECINCT LINE RD
HURST, TX
ZIP 76054
Phone: (817) 503-7731

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Mailing Address

WAL-MART STORES TEXAS LLC
702 SW 8TH ST
BENTONVILLE, AR
ZIP 72716
Phone: (479) 277-1238
Fax: (479) 277-4331


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name SARAH LITTLE
Authorized Official TitleDIRECTOR OF HEALTHCARE CONTRACTING
Authorized Official Phone(479) 277-2500

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN4360370308
Accepts Medicare AssignmentNO
Specialities ListPharmacy, Optician.
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
  • 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
  • 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
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1295752343 is:

CLIA Number45D2117394
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

2333600000XSuppliersPharmacyNo

Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
469748MEDICAID (05)TX
2098793OTHER (01)PK
4360370308MEDICARE NSC (07)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295752343
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185145438
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 4 + 5 + 4 + 3 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1295752343 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245407683REDICLINIC US, LLC
Organization
Clinic/Center1732 PRECINCT LINE RD
HURST, TX 76054
(866) 607-7334
1679656144WAL-MART STORES TEXAS, LLC
Organization
Eyewear Supplier1732 PRECINCT LINE RD
HURST, TX 76054
(817) 503-7152
1538564703YOUR EYECARE DOCS, PLLC
Organization
Optometrist1732 PRECINCT LINE RD
HURST, TX 76054
(309) 253-8100
1922608140 LILY HULTQUIST RPH
Individual
Pharmacist1732 PRECINCT LINE RD
HURST, TX 76054
(817) 503-7731
1275133456 BOTROS HANNA
Individual
Pharmacist1732 PRECINCT LINE RD
HURST, TX 76054
(817) 503-7731
1083276711DR JOHN NGUYEN OD AND ASSOCIATES
Organization
Optometrist1732 PRECINCT LINE RD
HURST, TX 76054
(817) 576-4419
1528517695 JOHN DAT NGUYEN O.D.
Individual
Optometrist1732 PRECINCT LINE RD
HURST, TX 76054
(817) 576-4419

Frequently Asked Questions

What is WAL-MART STORES TEXAS LLC NPI number?

The NPI number assigned to WAL-MART STORES TEXAS LLC is 1295752343, registered as an "organization" on July 16, 2006

Where is WAL-MART STORES TEXAS LLC located?

The provider is located at 1732 Precinct Line Rd Hurst, Tx 76054 and the phone number is (817) 503-7731

What kind of medical provider is WAL-MART STORES TEXAS LLC?

This medical organization specializes in Pharmacy with a focus in Community/Retail Pharmacy

What insurance does WAL-MART STORES TEXAS LLC accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

What is WAL-MART STORES TEXAS LLC CLIA number?

The provider's CLIA number is 45D2117394 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

The NPI record of WAL-MART STORES TEXAS LLC was last updated on July 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]