WAL-MART STORES TEXAS LLC
NPI 1659709426
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

Q: What is Wal-Mart Stores Texas LLC's NPI number?

The NPI number for Wal-Mart Stores Texas LLC is 1659709426. It was assigned to this organization in the NPPES registry on October 14, 2013. The provider is doing business as Walmart Pharmacy 10-1803.

Q: 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.

Active since October 14, 2013

4331 THOUSAND OAKS DR, SAN ANTONIO, TX 78217(210) 591-4979(210) 591-4980 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, Feb 15, 2017, Aug 26, 2016 (3 updates tracked since 2016).

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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 1659709426), doing business as Walmart Pharmacy 10-1803, 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

NPI1659709426

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES TEXAS LLC

Location Address4331 THOUSAND OAKS DRSan Antonio, TX 78217-2101

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-0709 · Fax (479) 277-4331

Phone(210) 591-4979

Fax(210) 591-4980

Organization SubpartNo

Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515

Enumeration DateOctober 14, 2013

Last NPPES UpdateJune 16, 20253 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1659709426 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 · 28916

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

4331 THOUSAND OAKS DR, San Antonio, TX 78217

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Other Names 1

Doing Business AsWalmart Pharmacy 10-1803

Other Identifiers 3

Medicaid1659709426TX

Medicaid469728TX

Other2142687Pk

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 3

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.

66 services66 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.

65 services65 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.

13 services13 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.

DR. MARC DAVID KESSNER O.D.

Optometrist