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WAL-MART STORES TEXAS LLC
NPI 1598009375
Pharmacy - Community/Retail Pharmacy in Fort Worth, TX

Active since November 19, 2012
2900 RENAISSANCE SQ, FORT WORTH, TX 76105(817) 900-1912 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 6, 2025, Feb 15, 2017, Aug 30, 2016 (3 updates tracked since 2016).

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 1598009375), doing business as Walmart Pharmacy 10-3044, is a healthcare organization registered as a community/retail pharmacy in Fort Worth, Texas and active in the NPI registry since November 2012. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1598009375
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address2900 RENAISSANCE SQFort Worth, TX 76105-5200
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-0709 · Fax (479) 277-4331
Phone(817) 900-1912
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateNovember 19, 2012
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1598009375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 28318
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.
2900 RENAISSANCE SQ, Fort Worth, TX 76105
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3044

Other Identifiers 3

Medicaid1598009375TX
Medicaid470145TX
Other2138059Pk

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.
21 services21 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.
17 services17 patients

Other Providers at the Same Location NPPES 7

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

US DENTAL PROFESSIONALS RENAISSANCE PLLC
Dentist (General Practice)
2900 RENAISSANCE SQ
FORT WORTH, TX 76105
Tarrant County (972) 499-7733
GUY SIMPSON
Pharmacist
2900 RENAISSANCE SQ
FORT WORTH, TX 76105
Tarrant County (817) 480-9779
EBRAM KHALIL
Pharmacist
2900 RENAISSANCE SQ
FORT WORTH, TX 76105
Tarrant County (817) 900-1912
KRUTI SHAH PHARMACIST
Pharmacist
2900 RENAISSANCE SQ
FORT WORTH, TX 76105
Tarrant County (817) 900-1912
KIM NGOC LUU
Pharmacist
2900 RENAISSANCE SQ
FORT WORTH, TX 76105
Tarrant County (817) 900-1912
MRS. CHERYL KAY KLEMPEL DPH
Pharmacist
2900 RENAISSANCE SQ
FORT WORTH, TX 76105
Tarrant County (817) 900-1912
KUNHA CHINTASRENI
Pharmacist
2900 RENAISSANCE SQ
FORT WORTH, TX 76105
Tarrant County (817) 900-1912

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 1598009375. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Walmart Pharmacy 10-3044.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 2900 Renaissance Sq, Fort Worth, TX 76105. The listed phone number is (817) 900-1912.

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 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 6, 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.