WALMART PHARMACY 10-2724
NPI 1922025030
Pharmacy - Community/Retail Pharmacy in Pasadena, TX

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

The NPI number for Wal-Mart Stores Texas LLC is 1922025030. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-2724.

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 July 16, 2006CLIA 45D2132772 · Waiver

1107 SHAVER ST, PASADENA, TX 77506(713) 534-6665 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, Feb 15, 2017, Aug 26, 2016 (3 updates tracked since 2016).

On this page

About Walmart Pharmacy 10-2724 NPPES

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

WALMART PHARMACY 10-2724 (NPI 1922025030) is a healthcare organization registered as a community/retail pharmacy in Pasadena, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1922025030

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES TEXAS LLC

Location Address1107 SHAVER STPasadena, TX 77506-4405

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238 · Fax (479) 277-4331

Phone(713) 534-6665

Organization SubpartNo

Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500

Enumeration DateJuly 16, 2006

Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration

NPPES CertifiedAugust 29, 2023

✔ NPI 1922025030 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 · 21622

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

1107 SHAVER ST, Pasadena, TX 77506

Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-2724

Other Identifiers 2

Other2092420Pk

Medicaid470367TX

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2132772

Walmart Pharmacy 10-2724 · Pasadena, TX

Active · expires Jun 26, 2027

CLIA Number45D2132772

Laboratory TypePharmacy

Certificate Effective DateJune 27, 2025

Certificate Expiration DateJune 26, 2027

Laboratory DirectorJames Nkansah

Laboratory Phone(713) 534-6665

Laboratory LocationWalmart Pharmacy 10-27241107 Shaver St, Pasadena, TX 77508

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

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.

22 services22 patients

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.

22 services22 patients

Other Providers at the Same Location NPPES 8

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

MANUEL VERA PHARMD

Pharmacist