Wal-Mart Stores Texas LLC
Wal-Mart Stores Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Bastrop, TX, holding Type 2 (organization) NPI 1497772644 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497772644 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores Texas LLC |
| Other name | <Unavail> |
| Practice address | 488 HIGHWAY 71 W, Bastrop, TX, 78602 |
| Phone | 5123211020 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-04 |
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 | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 21808 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469743 | Medicaid | TX | — |
| 2096701 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores Texas LLC NPI: 1497772644 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 488 HIGHWAY 71 W, Bastrop, TX, 78602
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376518480 | Robert Riegler | Individual | Optometrist | Bastrop, TX |
| 1184645822 | Robert F. Riegler, O.D.,Pllc | Organization | Optometrist | Bastrop, TX |
| 1942219183 | Daniel Esteban | Individual | Optometrist | Bastrop, TX |
| 1386751519 | Gemma Alger | Individual | Optometrist | Bastrop, TX |
| 1083715585 | Wal-Mart Stores Texas, Lp | Organization | Eyewear Supplier | Bastrop, TX |
| 1952903585 | Sarah Kowalski | Individual | Pharmacist | Bastrop, TX |
| 1225630866 | Debra Thomas | Individual | Pharmacist | Bastrop, TX |
| 1750984050 | Edward Castillo | Individual | Pharmacist | Bastrop, TX |
Verify this record
Cross-check NPI 1497772644 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
Where is Wal-Mart Stores Texas LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-04.