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Wal-Mart Stores Texas LLC

Community/Retail Pharmacy in Gilmer, TX · enumerated 2006 · authorized official Kimberly Canonic, Sr Director, Contracting.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982622734

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Stores Texas LLC
Other name <Unavail>
Practice address 1102 Us Highway 271 N, Gilmer, TX, 75644
Fax (903) 797-6485
Enumeration date Jul 18, 2006
Last updated in NPPES Jan 26, 2026

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 21782 (TX) Primary

Authorized official

Name Kimberly Canonic
Title Sr Director, Contracting

Other identifiers

Identifier Type State Issuer
468413 Medicaid TX -
2106637 Other - PK

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.

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Frequently asked questions

Where is Wal-Mart Stores Texas LLC located?
The practice location on file with NPPES is in Gilmer, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-26. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-26.