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WALMART PHARMACY 10-0140
NPI 1457378622
Pharmacy - Community/Retail Pharmacy in Lufkin, TX

Active since July 16, 2006CLIA 45D2122868 · Waiver
2500 DANIEL MCCALL DR, LUFKIN, TX 75904(936) 639-2275 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2023, Feb 15, 2017, Aug 25, 2016 (3 updates tracked since 2016).

About Walmart Pharmacy 10-0140 NPPES

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

WALMART PHARMACY 10-0140 (NPI 1457378622) is a healthcare organization registered as a community/retail pharmacy in Lufkin, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Matthew Mcmullin, Director, Contracting, as its authorized official.

NPPES Registry Identity

NPI1457378622
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address2500 DANIEL MCCALL DRLufkin, TX 75904-7129
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238 · Fax (479) 277-4331
Phone(936) 639-2275
Organization SubpartNo
Authorized OfficialMatthew McmullinDirector, Contracting · (479) 371-8711
Enumeration DateJuly 16, 2006
Last NPPES UpdateDecember 1, 20233 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
✔ NPI 1457378622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 21664
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
Also ListedPharmacyTaxonomy 333600000X
2500 DANIEL MCCALL DR, Lufkin, TX 75904
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Other Names 1

Doing Business AsWalmart Pharmacy 10-0140

Other Identifiers 2

Medicaid469116TX
Other2103972Pk

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 ›

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 45D2122868

Walmart Pharmacy 10-140 · Lufkin, TX
Active · expires Dec 7, 2026
CLIA Number45D2122868
Laboratory TypePharmacy
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorAudrey D. Ward
Laboratory Phone(936) 639-2275
Laboratory LocationWalmart Pharmacy 10-1402500 Daniel Mccall Drive, Lufkin, TX 75904
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
292 services288 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.
276 services273 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
67 services67 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
57 services57 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-0140 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-0140

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

Does not accept Medicare assignment

Walmart Pharmacy 10-0140 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)20612339
Medicare Participant SinceNovember 29, 2001
Supplier Location2500 Daniel Mccall DrLufkin, TX 75904
Phone(936) 639-2275
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.

Other Providers at the Same Location NPPES 9

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

AUDREY DENISE WARD
Pharmacist
2500 DANIEL MCCALL DR
LUFKIN, TX 75904
Angelina County (936) 639-2275
HAFIZ TALHA SHAFIQUE RPH
Pharmacist
2500 DANIEL MCCALL DR
LUFKIN, TX 75904
Angelina County (936) 639-2275
GANGADHARAM GALLA
Pharmacist
2500 DANIEL MCCALL DR
LUFKIN, TX 75904
Angelina County (936) 639-2275
NATIONAL VISION, INC.
Eyewear Supplier
2500 DANIEL MCCALL DR
LUFKIN, TX 75904
Angelina County (936) 639-6040
DAE HYUN JIN RPH
Pharmacist
2500 DANIEL MCCALL DR
LUFKIN, TX 75904
Angelina County (936) 639-2275
DR. SAM J CHARENDOFF OD
Optometrist
2500 DANIEL MCCALL DR
LUFKIN, TX 75904
Angelina County (936) 639-6044
HUNTER EVERETT PHARMD
Pharmacist
2500 DANIEL MCCALL DR
LUFKIN, TX 75904
Angelina County (936) 639-2275
WAL-MART STORES TEXAS, LLC.
Technician/Technologist (Optician)
2500 DANIEL MCCALL DR
LUFKIN, TX 75904
Angelina County (936) 639-6040

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 1457378622. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-0140.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 2500 Daniel Mccall Dr, Lufkin, TX 75904. The listed phone number is (936) 639-2275.

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 10-0140 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 45D2122868) is associated with this NPI, valid through December 7, 2026. 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 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 December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.