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 1255791562

Wal-Mart Stores Texas LLC is a Durable Medical Equipment & Medical Supplies in San Angelo, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5154 Knickerbocker Rd
San Angelo, TX 76904-7714
Phone: (325) 276-6620
Fax: (325) 276-6619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 30612 (TX)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1255791562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Director · (480) 853-0515
Other names Walmart Pharmacy 10-7311
NPI enumeratedFebruary 29, 2016
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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