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Wal-Mart Stores Texas LLC

Wal-Mart Stores Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Humble, TX, holding Type 2 (organization) NPI 1518175421 since 2007. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1518175421
Entity type Organization (Type 2)
Legal business name Wal-Mart Stores Texas LLC
Other name <Unavail>
Practice address 9235 N SAM HOUSTON PKWY E, Humble, TX, 77396
Phone 2814412670
Enumeration date 2007-05-21
Last updated in NPPES 2025-07-09

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 25537 TX

Other identifiers

Identifier Type State Issuer
469747 Medicaid TX
2100155 Other PK
Copy-ready billing details
Provider: Wal-Mart Stores Texas LLC
NPI: 1518175421
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 9235 N SAM HOUSTON PKWY E, Humble, TX, 77396

Providers at this address

NPI Name Type Specialty Location
1174747547 Wal-Mart Stores Texas, LLC Organization Eyewear Supplier Humble, TX
1932325271 Nick Ho Individual Optometrist Humble, TX
1053674879 Nick Ho Od Pllc Organization Optometrist Humble, TX
1922608777 Michelle Badon Individual Pharmacist Humble, TX
1275135592 Huong Le Individual Pharmacist Humble, TX
1528660693 Brandon Beauchamp Individual Pharmacist Humble, TX
1366037426 Evelyn Odeh Individual Pharmacist Humble, TX
1639907785 Leandro Velazquez Individual Optician Humble, TX

Verify this record

Cross-check NPI 1518175421 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 type of organization is Wal-Mart Stores Texas LLC?
Wal-Mart Stores Texas LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-09.