NPI
Wal-Mart Stores Texas LLC
Doing business as Walmart Pharmacy 10-4130. NPI 1649661695
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2015-02-12
- Last updated
- 2025-06-05
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Specialties
Licenses
- License TX
- 29672
Location
- Practice location
- 5754 Kyle Pkwy
- City
- Kyle TX
- Postal code
- 78640-2404
- Phone
- (512) 268-0412
Organization contact
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Kyle, TX. 1,065 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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