WAL-MART STORES TEXAS LLC
NPI 1396171989
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

Active since September 16, 2013
1 LONE STAR PASS STE 46, SAN ANTONIO, TX 78264(210) 628-4012 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Feb 15, 2017 (2 updates tracked since 2017).

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 1396171989), doing business as Walmart Pharmacy 10-7263, is a healthcare organization registered as a community/retail pharmacy in San Antonio, Texas and active in the NPI registry since September 2013. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1396171989
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address1 LONE STAR PASS STE 46San Antonio, TX 78264-3650
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateSeptember 16, 2013
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1396171989 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 · 28928
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
1 LONE STAR PASS STE 46, San Antonio, TX 78264

Other Names 1

Doing Business AsWalmart Pharmacy 10-7263

Other Identifiers 2

Medicaid1396171989TX
Other2142116Pk

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1 LONE STAR PASS STE 46
SAN ANTONIO, TX 78264
Clinic/Center (Dental)
1 LONE STAR PASS STE 46
SAN ANTONIO, TX 78264
Family Medicine
1 LONE STAR PASS STE 46
SAN ANTONIO, TX 78264
Physical Therapist
1 LONE STAR PASS STE 46
SAN ANTONIO, TX 78264
Preventive Medicine (Occupational Medicine)
1 LONE STAR PASS STE 46
SAN ANTONIO, TX 78264
Physician Assistant (Medical)
1 LONE STAR PASS STE 46
SAN ANTONIO, TX 78264

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 1396171989. It was assigned to this organization in the NPPES registry on September 16, 2013. The provider is doing business as WalMart Pharmacy 10-7263.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 1 Lone Star Pass Ste 46, San Antonio, TX 78264. The listed phone number is (210) 628-4012.

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.

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 55 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 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.