WALMART
NPI 1487013033
Pharmacist in Wylie, TX

Active since February 10, 2016CLIA Certified · 2 labs
1400 MCCREARY RD, WYLIE, TX 75098(972) 202-4007 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart NPPES

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

WALMART (NPI 1487013033) is a healthcare organization registered as a pharmacist in Wylie, Texas and active in the NPI registry since February 2016. The organization holds 2 active CLIA laboratory certificates and lists Melehia Ann Frauenholtz, R.ph., as its authorized official.

NPPES Registry Identity

NPI1487013033
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALMART
Location Address1400 MCCREARY RDWylie, TX 75098-8776
Mailing Address1400 Mccreary RdWylie, TX 75098-8776 · (972) 202-4007
Organization SubpartNo
Authorized OfficialMelehia Ann FrauenholtzR.ph. · (972) 202-4007
Enumeration DateFebruary 10, 2016
NPI 1487013033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in TX · 51893 Licensed in IA · 22672 Licensed in IL · 51299222
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1400 MCCREARY RD, Wylie, TX 75098

Other Identifiers 3

Other51893TX · Texas State Board Of Parmacy
Other463181Nabp
Other22672Iowa State Board Of Pharmacy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 45D2119699

Walmart Pharmacy 10-6078 · Wylie, TX
Active · expires Oct 2, 2026
CLIA Number45D2119699
Laboratory TypePharmacy
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorNam N. Tsan
Laboratory Phone(972) 202-4368
Laboratory LocationWalmart Pharmacy 10-60781400 Mcreary Road, Wylie, TX 75098
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2117423

Walmart Pharmacy 10-5210 · Wylie, TX
Active · expires Aug 15, 2026
CLIA Number45D2117423
Laboratory TypePharmacy
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorMubina Iqbal
Laboratory Phone(972) 429-5106
Laboratory LocationWalmart Pharmacy 10-52102050 N Highway 78, Wylie, TX 75098
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pharmacist
1400 MCCREARY RD
WYLIE, TX 75098
Pharmacy (Community/Retail Pharmacy)
1400 MCCREARY RD
WYLIE, TX 75098
Pharmacist
1400 MCCREARY RD
WYLIE, TX 75098

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 Walmart's NPI number?

The NPI number for Walmart is 1487013033. It was assigned to this organization in the NPPES registry on February 10, 2016.

Where is Walmart located?

Walmart is located at 1400 Mccreary Rd, Wylie, TX 75098. The listed phone number is (972) 202-4007.

What is Walmart's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Walmart hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Walmart was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.