NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wal-Mart Stores Texas LLC

Community/Retail Pharmacy in Hidalgo, TX · enumerated 2014 · authorized official Kimberly Canonic, Senior Director, Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225455504

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Stores Texas LLC
Other name <Unavail>
Practice address 3000 N Jackson Rd, Hidalgo, TX, 78557
Phone (956) 904-4829
Fax (956) 904-4830
Enumeration date Mar 25, 2014
Last updated in NPPES Jun 6, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 29133 (TX) Primary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone (480) 277-6348

Other identifiers

Identifier Type State Issuer
469640 Medicaid TX —
1225455504 Medicaid TX —
2145353 Other — PK

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 → Validate an NPI →

Frequently asked questions

What is the NPI number for Wal-Mart Stores Texas LLC?
The NPI for Wal-Mart Stores Texas LLC is 1225455504, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Wal-Mart Stores Texas LLC?
NPPES lists Kimberly Canonic (Senior Director, Enrollment) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-06.