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 1891168357

Wal-Mart Stores Texas, LLC is a Durable Medical Equipment & Medical Supplies in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
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

9005 Fm 1560 N
San Antonio, TX 78254-9643
Phone: (210) 507-0833
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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 30232 (TX)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1891168357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-5490
NPI enumeratedNovember 5, 2015
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address702 Sw 8th St, Mailstop 0445, Bentonville, AR 72716-0445

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