Wal-Mart Stores Texas LLC
Wal-Mart Stores Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Midland, TX, holding Type 2 (organization) NPI 1902823073 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902823073 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores Texas LLC |
| Other name | <Unavail> |
| Practice address | 200 W INTERSTATE 20, Midland, TX, 79701 |
| Phone | 4326844425 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-07-02 |
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 | 24251 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2098515 | Other | — | PK |
| 24251 | Medicaid | TX | — |
| 469704 | Medicaid | TX | — |
Copy-ready billing details
Provider: Wal-Mart Stores Texas LLC NPI: 1902823073 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 200 W INTERSTATE 20, Midland, TX, 79701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407941040 | Joy Luke | Individual | Optometrist | Midland, TX |
| 1053494591 | Wal-Mart Stores Texas, LLC | Organization | Eyewear Supplier | Midland, TX |
| 1730472432 | Luke Eye Associates, Lp | Organization | Optometrist | Midland, TX |
| 1356998140 | Ugochukwu Chiadi | Individual | Pharmacist | Midland, TX |
| 1518568831 | Sudha Ramachandra | Individual | Pharmacist | Midland, TX |
| 1346842366 | Hung Pham | Individual | Pharmacist | Midland, TX |
| 1700550589 | Aishnie Nath Varma | Individual | Pharmacist | Midland, TX |
| 1447971403 | Uchenna Mbama | Individual | Pharmacist | Midland, TX |
Verify this record
Cross-check NPI 1902823073 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?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-02.