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WALMART PHARMACY 10-2363
NPI 1659773828
Pharmacy - Community/Retail Pharmacy in Edgewood, TX

Active since September 19, 2014
504 W PINE ST, EDGEWOOD, TX 75117(903) 896-7053 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart Pharmacy 10-2363 NPPES

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

WALMART PHARMACY 10-2363 (NPI 1659773828) is a healthcare organization registered as a community/retail pharmacy in Edgewood, Texas and active in the NPI registry since September 2014. The organization lists Laura Levine, Dir. Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1659773828
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address504 W PINE STEdgewood, TX 75117-2944
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(903) 896-7053
Organization SubpartNo
Authorized OfficialLaura LevineDir. Healthcare Contracting · (479) 204-8550
Enumeration DateSeptember 19, 2014
Last NPPES UpdateApril 29, 2015
✔ NPI 1659773828 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 · 29515
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
504 W PINE ST, Edgewood, TX 75117
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Other Names 1

Doing Business AsWalmart Pharmacy 10-2363

Other Identifiers 3

Medicaid467062TX
Other2148071Pk
Medicare NSC4360370477

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 1659773828. It was assigned to this organization in the NPPES registry on September 19, 2014. The provider is doing business as Walmart Pharmacy 10-2363.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 504 W Pine St, Edgewood, TX 75117. The listed phone number is (903) 896-7053.

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.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores Texas LLC was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.