Wal-Mart Stores Texas, LLC

Wal-Mart Stores Texas, LLC is a healthcare organization registered as Community/Retail Pharmacy in San Angelo, TX, holding Type 2 (organization) NPI 1487031779 since 2015. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

✓ Active NPI ✓ Valid NPI checksum

NPI	1487031779
Entity type	Organization (Type 2)
Legal business name	Wal-Mart Stores Texas, LLC
Other name	<Unavail>
Practice address	1852 SHERWOOD WAY, San Angelo, TX, 76901
Phone	3252766948
Enumeration date	2015-05-06
Last updated in NPPES	2025-06-10

Authorized official

Name	Kimberly Canonic
Title	Senior Director, Enrollment
Phone	4802776348

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332B00000X	Durable Medical Equipment & Medical Supplies	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Primary	33030	TX

Other identifiers

Identifier	Type	State	Issuer
469301	Medicaid	TX	—
2153970	Other	—	PK

Copy-ready billing details

Provider: Wal-Mart Stores Texas, LLC
NPI: 1487031779
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1852 SHERWOOD WAY, San Angelo, TX, 76901

Providers at this address

NPI	Name	Type	Specialty	Location
1962449397	Albertsons LLC	Organization	Community/Retail Pharmacy	San Angelo, TX
1962658773	Michael Fite	Individual	Pharmacist	San Angelo, TX
1881294593	Esther Chen	Individual	Pharmacist	San Angelo, TX

Verify this record

Cross-check NPI 1487031779 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-10. Verify at npiregistry.cms.hhs.gov.

Where is Wal-Mart Stores Texas, LLC located?

The practice location on file with NPPES is in San Angelo, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-10.