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WAL-MART STORES TEXAS LLC
NPI 1992723746
Pharmacy - Community/Retail Pharmacy in Rockdale, TX

Active since July 18, 2006
709 W US HIGHWAY 79, ROCKDALE, TX 76567(512) 446-3401 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2025, Feb 15, 2017, Aug 25, 2016 (3 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 1992723746), doing business as Walmart Pharmacy 10-0280, is a healthcare organization registered as a community/retail pharmacy in Rockdale, 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

NPI1992723746
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES TEXAS LLC
Location Address709 W US HIGHWAY 79Rockdale, TX 76567-5325
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238 · Fax (479) 277-4331
Phone(512) 446-3401
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 18, 2006
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1992723746 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 · 21787
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
709 W US HIGHWAY 79, Rockdale, TX 76567
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Other Names 1

Doing Business AsWalmart Pharmacy 10-0280

Other Identifiers 2

Other2105364Pk
Medicaid468431TX

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.
131 services130 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.
124 services123 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.
37 services37 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.
24 services24 patients

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-0280 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-0280

DMEPOS supplier · Rockdale, TXOperated by Wal-Mart Stores Texas, LLC
⋮

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-0280 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20610023
Medicare Participant SinceNovember 29, 2001
Supplier Location709 West Hwy 79Rockdale, TX 76567
Phone(512) 446-3401
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

JAMES HUANG
Pharmacist
709 W US HIGHWAY 79
ROCKDALE, TX 76567
Milam County (512) 446-3401
HUNG DUC NGUYEN
Pharmacist
709 W US HIGHWAY 79
ROCKDALE, TX 76567
Milam County (512) 446-3401
THAO NGUYEN TAYLOR
Pharmacist
709 W US HIGHWAY 79
ROCKDALE, TX 76567
Milam County (512) 446-3401
HALEY QUINLAN PHARMD
Pharmacist
709 W US HIGHWAY 79
ROCKDALE, TX 76567
Milam County (512) 446-3401

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 1992723746. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Walmart Pharmacy 10-0280.

Where is Wal-Mart Stores Texas LLC located?

Wal-Mart Stores Texas LLC is located at 709 W Us Highway 79, Rockdale, TX 76567. The listed phone number is (512) 446-3401.

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.

Does Wal-Mart Stores Texas LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-0280 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

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 May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.