WAL-MART STORES TEXAS LLC
NPI 1326426768
Pharmacy - Community/Retail Pharmacy in Wake Village, TX

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

The NPI number for Wal-Mart Stores Texas LLC is 1326426768. It was assigned to this organization in the NPPES registry on May 18, 2015. The provider is doing business as Walmart Pharmacy 10-4373.

Q: 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.

Active since May 18, 2015

200 WAKE VILLAGE RD, WAKE VILLAGE, TX 75501(903) 716-7174(903) 716-7173 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Feb 15, 2017, Aug 30, 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 1326426768), doing business as Walmart Pharmacy 10-4373, is a healthcare organization registered as a community/retail pharmacy in Wake Village, Texas and active in the NPI registry since May 2015. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1326426768

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES TEXAS LLC

Location Address200 WAKE VILLAGE RDWake Village, TX 75501-6227

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 273-4288 · Fax (479) 277-4331

Phone(903) 716-7174

Fax(903) 716-7173

Organization SubpartNo

Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515

Enumeration DateMay 18, 2015

Last NPPES UpdateJune 11, 20253 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1326426768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TX · 29953

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

200 WAKE VILLAGE RD, Wake Village, TX 75501

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Other Names 1

Doing Business AsWalmart Pharmacy 10-4373

Other Identifiers 2

Medicaid469576TX

Other2152322Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

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.

173 services172 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.

155 services155 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-4373 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-4373

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

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Does not accept Medicare assignment

Walmart Pharmacy 10-4373 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)20609543

Medicare Participant SinceNovember 29, 2001

Supplier Location200 Wake Village RdWake Village, TX 75501

Phone(903) 716-7174

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 2

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

DR. DANIEL NEJADI PHARMD

Pharmacist

200 WAKE VILLAGE RD
WAKE VILLAGE, TX 75501

Bowie County (903) 716-7174

GREETEL VARUGHESE

Pharmacist

200 WAKE VILLAGE RD
WAKE VILLAGE, TX 75501

Bowie County (903) 716-7174

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 1326426768. It was assigned to this organization in the NPPES registry on May 18, 2015. The provider is doing business as Walmart Pharmacy 10-4373.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 200 Wake Village Rd, Wake Village, TX 75501. The listed phone number is (903) 716-7174.

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, Walmart Pharmacy 10-4373 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 Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 56 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 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.