Wal-Mart Stores Texas LLC
Wal-Mart Stores Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Tyler, TX, holding Type 2 (organization) NPI 1124047139 since 2006. The authorized official on file is Sarah Little, Director of Healthcare Contracting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124047139 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores Texas LLC |
| Other name | <Unavail> |
| Practice address | 6801 S BROADWAY AVE, Tyler, TX, 75703 |
| Phone | 9035814842 |
| Enumeration date | 2006-07-19 |
| Last updated in NPPES | 2023-08-29 |
Authorized official
| Name | Sarah Little |
|---|---|
| Title | Director of Healthcare Contracting |
| Phone | 4792772500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 21621 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2096019 | Other | — | PK |
| 469502 | Medicaid | TX | — |
Copy-ready billing details
Provider: Wal-Mart Stores Texas LLC NPI: 1124047139 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 6801 S BROADWAY AVE, Tyler, TX, 75703
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467533810 | Wal-Mart Stores Texas, Lp | Organization | Eyewear Supplier | Tyler, TX |
| 1851877740 | Stephanie Seawright | Individual | Pharmacist | Tyler, TX |
| 1336749704 | Angela Campbell | Individual | Pharmacist | Tyler, TX |
| 1417557158 | Karen Green | Individual | Pharmacist | Tyler, TX |
| 1063012714 | Charlotte Strecker | Individual | Pharmacist | Tyler, TX |
| 1871299925 | Rema Burghul | Individual | Pharmacist | Tyler, TX |
Verify this record
Cross-check NPI 1124047139 against the authoritative CMS record: view Wal-Mart Stores Texas LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Wal-Mart Stores Texas LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-08-29.