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WAL-MART STORES TEXAS LLC
NPI 1902823065
Pharmacy - Community/Retail Pharmacy in Fort Worth, TX

Active since July 16, 2006
3851 AIRPORT FWY, FORT WORTH, TX 76111(817) 759-1926 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2025, Feb 15, 2017, Aug 31, 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 1902823065), doing business as Walmart Pharmacy 105312, is a healthcare organization registered as a community/retail pharmacy in Fort Worth, Texas and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1902823065
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address3851 AIRPORT FWYFort Worth, TX 76111-5906
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238 · Fax (479) 277-4331
Phone(817) 759-1926
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 13, 20254 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1902823065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 23303
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
Also ListedPharmacyTaxonomy 333600000X
3851 AIRPORT FWY, Fort Worth, TX 76111
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Other Names 1

Doing Business AsWalmart Pharmacy 105312

Other Identifiers 2

Other2097194Pk
Medicaid470008TX

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.
29 services28 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.
28 services27 patients

Other Providers at the Same Location NPPES 5

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

LIEN KIM LE
Pharmacist
3851 AIRPORT FWY
FORT WORTH, TX 76111
Tarrant County (817) 759-1926
MICAH THAMES PHARMD
Pharmacist
3851 AIRPORT FWY
FORT WORTH, TX 76111
Tarrant County (817) 759-1926
OTEN EYE CARE AND ASSOCIATES
Optometrist
3851 AIRPORT FWY
FORT WORTH, TX 76111
Tarrant County (817) 831-0448
WAL-MART STORES TEXAS, LLC
Eyewear Supplier
3851 AIRPORT FWY
FT WORTH, TX 76111
Tarrant County (817) 759-2047
DR. OTENG BOADU OD
Optometrist
3851 AIRPORT FWY
FORT WORTH, TX 76111
Tarrant County (817) 831-0448

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 1902823065. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 105312.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 3851 Airport Fwy, Fort Worth, TX 76111. The listed phone number is (817) 759-1926.

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 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.