Wal-Mart Stores Texas LLC
Wal-Mart Stores Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Lancaster, TX, holding Type 2 (organization) NPI 1942603741 since 2014. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1942603741 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores Texas LLC |
| Other name | <Unavail> |
| Practice address | 350 N BLUEGROVE RD, Lancaster, TX, 75146 |
| Phone | 2144599922 |
| Fax | 2144599923 |
| Enumeration date | 2014-10-07 |
| Last updated in NPPES | 2025-06-12 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4808530515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 29535 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469999 | Medicaid | TX | — |
| 2149297 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores Texas LLC NPI: 1942603741 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 350 N BLUEGROVE RD, Lancaster, TX, 75146
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205224862 | Bestin Abraham | Individual | Pharmacist | Lancaster, TX |
| 1982069605 | Tho Phan | Individual | Pharmacist | Lancaster, TX |
| 1528423241 | Wal-Mart | Organization | Pharmacist | Lancaster, TX |
| 1326648999 | Taylor Parker | Individual | Pharmacist | Lancaster, TX |
| 1841978038 | Lindsey Worthington | Individual | Pharmacist | Lancaster, TX |
Verify this record
Cross-check NPI 1942603741 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?
What is the NPI number for Wal-Mart Stores Texas LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-12.