Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wal-Mart Stores Texas LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1215954466

Wal-Mart Stores Texas LLC is a Durable Medical Equipment & Medical Supplies in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5050 Troup Hwy
Tyler, TX 75707-1916
Phone: (903) 534-1122
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 21809 (TX)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1215954466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-1044
NPI enumeratedJuly 16, 2006
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

Other providers in Tyler