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

Wal-Mart Stores Texas LLC

Organization Community/Retail Pharmacy · NPI 1215956222

Wal-Mart Stores Texas LLC is a Community/Retail Pharmacy in Carrollton, Texas. Licensed in Arkansas, Illinois, Indiana and Kansas and 11 more. Registered with an NPI since 2006.

Licensed in
AR, IL, IN, KS, KY, LA
In the registry since
2006
Specialties on file
15
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 →

Practice location Address checks out

1025 W Trinity Mills Rd
Carrollton, TX 75006-1375
Phone: (800) 273-3455
Fax: (800) 406-8976
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence OS01265 (AR)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 99-200 (OK)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 28RO00006000 (NJ)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence TX377 (KY)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 400-0003 (SD)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 126 (NE)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 261465 (MN)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 22-01391 (KS)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PHA-MOP-LIC-37 (MT)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 2002012999 (MO)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 3242 (TN)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 054.013662 (IL)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 4785OS (LA)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 64000067A (IN)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 03779/7.1 (MS)

Record details

NPI number1215956222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-2625; Walmart Pharmacy 10-2625
NPI enumeratedJuly 19, 2006
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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