WAL-MART STORES TEXAS LLC
NPI 1619304425
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

Active since October 11, 2013
7239 SW LOOP 410, SAN ANTONIO, TX 78242(210) 247-5912(210) 247-5906 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 5, 2025, Feb 15, 2017, Aug 26, 2016 and 1 more (4 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 1619304425), doing business as Walmart Pharmacy 10-0999, is a healthcare organization registered as a community/retail pharmacy in San Antonio, Texas and active in the NPI registry since October 2013. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1619304425
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address7239 SW LOOP 410San Antonio, TX 78242-2049
Mailing Address702 Sw 8th StBentonville, AR 72712-6209 · (479) 277-1242 · Fax (479) 277-4331
Fax(210) 247-5906
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateOctober 11, 2013
Last NPPES UpdateJune 5, 20254 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1619304425 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 · 28917
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
7239 SW LOOP 410, San Antonio, TX 78242

Other Names 1

Doing Business AsWalmart Pharmacy 10-0999

Other Identifiers 2

Medicaid470176TX
Other2142708Pk

Accepted 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.
50 services50 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.
48 services48 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-0999 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-0999

DMEPOS supplier · San Antonio, TXOperated by Wal-Mart Stores Texas, LLC

Does not accept Medicare assignment

Walmart Pharmacy 10-0999 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)20610395
Medicare Participant SinceNovember 29, 2001
Supplier Location7239 SW Loop 410San Antonio, TX 78242
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

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

Pharmacist
7239 SW LOOP 410
SAN ANTONIO, TX 78242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619304425, enumerated as an "organization" on October 11, 2013.

The provider is located at 7239 SW LOOP 410 SAN ANTONIO, TX 78242 and the phone number is (210) 247-5912.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.