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 1619242583

Wal-Mart Stores Texas LLC is a Durable Medical Equipment & Medical Supplies in Plano, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
Specialties on file
2
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

3100 Custer Rd
Plano, TX 75075-2060
Phone: (972) 244-6722
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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 27908 (TX)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1619242583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-5657
NPI enumeratedMarch 12, 2012
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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