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WAL-MART STORES TEXAS LLC
NPI 1790125508
Pharmacy - Community/Retail Pharmacy in Crossroads, TX

Active since June 26, 2013
11700 US HIGHWAY 380, CROSSROADS, TX 76227(940) 488-7011(940) 488-7012 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Feb 15, 2017, Aug 31, 2016 and 2 more (5 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 1790125508), doing business as Walmart Pharmacy 10-5707, is a healthcare organization registered as a community/retail pharmacy in Crossroads, Texas and active in the NPI registry since June 2013. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1790125508
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address11700 US HIGHWAY 380Crossroads, TX 76227-8200
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-0709 · Fax (479) 277-4331
Phone(940) 488-7011
Fax(940) 488-7012
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJune 26, 2013
Last NPPES UpdateJuly 7, 20255 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1790125508 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 · 28581
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
11700 US HIGHWAY 380, Crossroads, TX 76227
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Other Names 1

Doing Business AsWalmart Pharmacy 10-5707

Other Identifiers 2

Medicaid469956TX
Other2141147Pk

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 4

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.
145 services143 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.
137 services135 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.
36 services36 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
32 services32 patients

Other Providers at the Same Location NPPES 11

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

BEVERLY BRAACK
Technician/Technologist (Optician)
11700 US HIGHWAY 380
CROSS ROADS, TX 76227
Denton County (940) 488-7013
DR. JONATHAN EDWARD HEBDA O.D
Optometrist
11700 US HIGHWAY 380
CROSSROADS, TX 76227
Denton County (214) 538-6511
TONY VO
Pharmacist
11700 US HIGHWAY 380
CROSSROADS, TX 76227
Denton County (940) 488-7011
NICOLE PUGSLEY
Pharmacist
11700 US HIGHWAY 380
CROSS ROADS, TX 76227
Denton County (940) 488-7011
KERRY RYAN CAGLE
Technician/Technologist (Optician)
11700 US HIGHWAY 380
CROSS ROADS, TX 76227
Denton County (940) 488-7013
DR TUAN HO & ASSOCIATES PLLC
Optometrist
11700 US HIGHWAY 380
CROSSROADS, TX 76227
Denton County (940) 365-9166
WAL-MART STORES TEXAS, LLC
Eyewear Supplier
11700 US HIGHWAY 380
CROSS ROADS, TX 76227
Denton County (479) 273-4288
KENT ZHENG
Pharmacist
11700 US HIGHWAY 380
CROSS ROADS, TX 76227
Denton County (940) 488-7008

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 1790125508. It was assigned to this organization in the NPPES registry on June 26, 2013. The provider is doing business as Walmart Pharmacy 10-5707.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 11700 Us Highway 380, Crossroads, TX 76227. The listed phone number is (940) 488-7011.

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 July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.