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 1619470770

Wal-Mart Stores Texas, LLC is a Durable Medical Equipment & Medical Supplies in Fort Worth, Texas. Registered with an NPI since 2018.

In the registry since
2018
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

5336 Golden Triangle Blvd
Fort Worth, TX 76244-4406
Phone: (817) 898-6115
Fax: (817) 898-6115
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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
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1619470770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
NPI enumeratedMarch 15, 2018
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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