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Export Provider Record NPI 1194742247
Wal-Mart Stores Texas Llc
Organization Subpart: NO
Active
NPI Number1194742247
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1194742247
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-16
Last Updated2025-06-12
Authorized OfficialKimberly Canonic
Senior Director, Enrollment
Phone: 4808530515
Mailing Address702 Sw 8th St
Bentonville, AR 72716-0445
United States
Phone: (479) 277-1238 | Fax: (479) 277-4331
📍 View Map
Primary Practice Address1421 W Frontage Rd
Alamo, TX 78516-2313
United States
Phone: (956) 782-2156
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2096261PK
MEDICAIDTX469858-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
No333600000X – Pharmacy--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyTX22940
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About NPI 1194742247

Wal-Mart Stores Texas Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1194742247. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Alamo, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1194742247?

NPI 1194742247 belongs to Wal-Mart Stores Texas Llc, a Pharmacy, Community/Retail Pharmacy in Alamo, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1194742247 active?

The current status of NPI 1194742247 in the NPPES registry is Active. The record was last updated on 2025-06-12.

What specialty is NPI 1194742247?

NPI 1194742247 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1194742247?

You can verify NPI 1194742247 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1194742247?

The primary practice address on file for NPI 1194742247 is 1421 W Frontage Rd, Alamo, TX 78516-2313. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1194742247 issued?

NPI 1194742247 was first issued (enumerated) on 2006-07-16. The NPPES record was last updated on 2025-06-12.

Practice Location Map

Wal-Mart Stores Texas Llc is located at 1421 W Frontage Rd, Alamo, TX. Use the map below to find directions or verify the practice location.

📍 1421 W Frontage Rd, Alamo, TX 78516-2313  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Wal-Mart Stores Texas Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1194742247. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy22940TX
Data Verified from CMS NPPES Last synced: 2026-08-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162