WALMART PHARMACY 10-5247 – NPI #1659398717
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

WALMART PHARMACY 10-5247 is a pharmacy located in ROANOKE, TX. NPPES has assigned the NPI number 1659398717 to WALMART PHARMACY 10-5247 on July 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALMART PHARMACY 10-5247” is a dba name, the actual legal business name for this organization is WAL-MART STORES TEXAS LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 9 years ago on Feb 15, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALMART PHARMACY 10-5247 below.

NPI Profile for
WAL-MART STORES TEXAS LLC

NPI Number
1659398717
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WAL-MART STORES TEXAS LLC
Doing Business As (dba): WALMART PHARMACY 10-5247
Primary location
1228 N HIGHWAY 377
ROANOKE, TX 76262-9122
Phone: (682) 831-1957 Fax:
Mailing address
702 SW 8TH ST
BENTONVILLE, AR 72716-0445
Phone: (479) 277-1238 Fax: (479) 277-4331
Organization Subpart
No
Authorized Official
SARAH LITTLE
DIRECTOR OF HEALTHCARE CONTRACTING
Phone: (479) 277-2500
Updated
Identifiers

Identifiers for WALMART PHARMACY 10-5247

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2096347
MEDICAIDTX469978
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
TX 23973
333600000X
- Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.