Wal-Mart Stores Texas LLC
Wal-Mart Stores Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Lufkin, TX, holding Type 2 (organization) NPI 1457378622 since 2006. The authorized official on file is Matthew Mcmullin, Director, Contracting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457378622 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores Texas LLC |
| Other name | <Unavail> |
| Practice address | 2500 DANIEL MCCALL DR, Lufkin, TX, 75904 |
| Phone | 9366392275 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2023-12-01 |
Authorized official
| Name | Matthew Mcmullin |
|---|---|
| Title | Director, Contracting |
| Phone | 4793718711 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 21664 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469116 | Medicaid | TX | — |
| 2103972 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores Texas LLC NPI: 1457378622 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2500 DANIEL MCCALL DR, Lufkin, TX, 75904
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487691911 | National Vision, Inc. | Organization | Eyewear Supplier | Lufkin, TX |
| 1508940198 | Sam Charendoff | Individual | Optometrist | Lufkin, TX |
| 1326648452 | Hafiz Talha Shafique | Individual | Pharmacist | Lufkin, TX |
| 1295336584 | Audrey Ward | Individual | Pharmacist | Lufkin, TX |
| 1447851217 | Gangadharam Galla | Individual | Pharmacist | Lufkin, TX |
| 1497425227 | Dae Hyun Jin | Individual | Pharmacist | Lufkin, TX |
| 1710615901 | Hunter Everett | Individual | Pharmacist | Lufkin, TX |
| 1821865700 | Wal-Mart Stores Texas, LLC. | Organization | Optician | Lufkin, TX |
Verify this record
Cross-check NPI 1457378622 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 is a Type 2 NPI?
What type of organization is Wal-Mart Stores Texas LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-12-01.