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Wal-Mart Stores Texas LLC

Wal-Mart Stores Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Midlothian, TX, holding Type 2 (organization) NPI 1750446860 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1750446860
Entity type Organization (Type 2)
Legal business name Wal-Mart Stores Texas LLC
Other name <Unavail>
Practice address 400 N HIGHWAY 67, Midlothian, TX, 76065
Phone 9727754708
Enumeration date 2006-12-27
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 25352 TX

Other identifiers

Identifier Type State Issuer
2099899 Other PK
469745 Medicaid TX
Copy-ready billing details
Provider: Wal-Mart Stores Texas LLC
NPI: 1750446860
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 400 N HIGHWAY 67, Midlothian, TX, 76065

Providers at this address

NPI Name Type Specialty Location
1811052756 Wal-Mart Stores Texas, LLC Organization Eyewear Supplier Midlothian, TX
1437427010 Danielle Gardner O.D., P.A. Organization Clinic/Center Midlothian, TX
1497356687 Sara Kemp Individual Pharmacist Midlothian, TX
1093316267 Sheree Booker Individual Pharmacist Midlothian, TX
1326649492 Shirley Stewart-Wilson Individual Pharmacist Midlothian, TX

Verify this record

Cross-check NPI 1750446860 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?
The practice location on file with NPPES is in Midlothian, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-09. Verify at npiregistry.cms.hhs.gov.

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