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Wal-Mart Stores Texas LLC

Wal-Mart Stores Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Mcallen, TX, holding Type 2 (organization) NPI 1750308987 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1750308987
Entity type Organization (Type 2)
Legal business name Wal-Mart Stores Texas LLC
Other name <Unavail>
Practice address 1200 E JACKSON AVE, Mcallen, TX, 78503
Phone 9566861840
Enumeration date 2006-07-16
Last updated in NPPES 2025-05-30

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 21815 TX

Other identifiers

Identifier Type State Issuer
468800 Medicaid TX
2102500 Other PK
Copy-ready billing details
Provider: Wal-Mart Stores Texas LLC
NPI: 1750308987
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1200 E JACKSON AVE, Mcallen, TX, 78503

Providers at this address

NPI Name Type Specialty Location
1972515120 Dan Shinnick Individual Optometrist Mcallen, TX
1841396124 Wal-Mart Stores Texas, Lp Organization Eyewear Supplier Mcallen, TX
1346840808 Luis Villarreal Individual Pharmacist Mcallen, TX
1740880517 Maria Chapa Individual Pharmacist Mcallen, TX
1760323877 Ociel Salazar Individual Pharmacist Mcallen, TX

Verify this record

Cross-check NPI 1750308987 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?
NPPES lists Kimberly Canonic (Senior Director, Enrollment) as the authorized official for this organization.
What is the NPI number for Wal-Mart Stores Texas LLC?
The NPI for Wal-Mart Stores Texas LLC is 1750308987, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-30.