Wal-Mart Stores Texas LLC
Wal-Mart Stores Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Plano, TX, holding Type 2 (organization) NPI 1386661429 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1386661429 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores Texas LLC |
| Other name | <Unavail> |
| Practice address | 425 COIT RD, Plano, TX, 75075 |
| Phone | 9725999066 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-19 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4808530515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 21853 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469511 | Medicaid | TX | — |
| 2097458 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores Texas LLC NPI: 1386661429 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 425 COIT RD, Plano, TX, 75075
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568470169 | James Hall | Individual | Optometrist | Plano, TX |
| 1295816718 | Wal-Mart Stores Texas, Lp | Organization | Eyewear Supplier | Plano, TX |
| 1558548180 | Hashemi & Associate O.D. P.A | Organization | Optometrist | Plano, TX |
| 1972770253 | Rediclinic Us, LLC | Organization | Clinic/Center | Plano, TX |
| 1962759928 | Aaron Hall O.D. P.L.L.C | Organization | Optometrist | Plano, TX |
| 1235779885 | Darren Pham | Individual | Optometrist | Plano, TX |
| 1346840907 | Ruby Thomas | Individual | Pharmacist | Plano, TX |
| 1235841438 | Zain Khan | Individual | Community/Retail Pharmacy | Plano, TX |
Verify this record
Cross-check NPI 1386661429 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
Who is the authorized official for Wal-Mart Stores Texas LLC?
What is the NPI number for Wal-Mart Stores Texas LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-19.