Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wal-Mart Stores Texas LLC

Community/Retail Pharmacy in Rio Grande City, TX · enumerated 2006 · authorized official Kimberly Canonic, Senior Director, Enrollment.

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

National Provider Identifier

1245258086

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Wal-Mart Stores Texas LLC

Other name <Unavail>

Practice address 4534 E Hwy 83, Rio Grande City, TX, 78582

Phone (956) 487-0711

Enumeration date Jul 18, 2006

Last updated in NPPES Jun 9, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 21768 (TX) Primary

Authorized official

Name Kimberly Canonic

Title Senior Director, Enrollment

Phone (480) 277-6348

Other identifiers

Identifier	Type	State	Issuer
166507701	Medicaid	TX	-
2100809	Other	-	PK
470182	Medicaid	TX	-

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

Where is Wal-Mart Stores Texas LLC located?

The practice location on file with NPPES is in Rio Grande City, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-09.