Wal-Mart Stores Texas, LLC
Organization Active NPI Community/Retail Pharmacy · Melissa, TX
NPI 1386521797 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1386521797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- WAL-MART STORES TEXAS, LLC
- Practice address
- 1950 McKinney St
Melissa, TX 75454-9957 - Phone
- (945) 234-6976
- NPI assigned
- Aug 18, 2025
- Organization subpart
- No
Authorized official
- Name
- Julie Hien Vu
- Title
- Director
- Phone
- (479) 371-1168
Corporate family (same tax ID) 24
Member of 2
Practitioners 289
-
Moataz T Abdelrazek, RPH
-
Houston Kenneth Willigton Acha, PHARMD
-
Olubamidele B Aderemi, PHARMD
-
Chisom Regan Akanno, PHARM D.
-
Peter I Akudo, PHARMD
-
Victor Ifeanyi Akwuba, PHARMD
-
Stephanie Aldrich, RPH
-
Travis Allison, PHARM.D.
-
Jacob Andrew Alvarado, PHARM.D.
-
Winifred Agyei Ampomaah, PHARMD
-
Daniel Adrian Antunez, PHARMD
-
Maureen Aseno, PHARMD
-
Elizabeth E Ataboong, RPH
-
Tracy Lynn Balgos, PHARMD
-
Mohamed Ben Barrie, PHARMD
-
Kymberli Bell, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2326659 | Walmart Pharmacy 10-1484 | Certificate of waiver | Jul 7, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130611000245 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719199165 | This NPI is an additional NPI on the enrollment |
| O20251215000838 | TX | DME Supplier - Pharmacy |
7719199165 | Practice locations: Melissa, TX |
National Provider Directory
- Tax ID family
- Wal-Mart Stores Teas LLC
Locations (25 of 198)
1619 Ambler Ave
Abilene, TX 79601
Phone (325) 672-4100
400 Highway 35 Byp S
Alvin, TX 77511
Phone (281) 585-3451
2035 SE 34th Ave
Amarillo, TX 79103
Phone (806) 513-6391
3700 I 40 E
Amarillo, TX 79103
Phone (806) 342-3030
2501 W Wheeler Ave
Aransas Pass, TX 78336
Phone (361) 758-2867
4801 S Cooper St
#101801
Arlington, TX 76017
Phone (817) 557-8740
5401 Park Springs Blvd
Arlington, TX 76017
Phone (817) 466-0677
12900 N Interstate 35
Austin, TX 78753
Phone (512) 837-9530
721 Boyd Rd
Azle, TX 76020
Phone (817) 270-2020
2005 Hutchins Ave
Ballinger, TX 76821
Phone (325) 365-5731
4600 7th St
Bay City, TX 77414
Phone (979) 245-0095
4101 Highway 121
Bedford, TX 76021
Phone (817) 571-6222
502 E FM 351
Beeville, TX 78102
Phone (361) 362-0661
2604 N Main St
Belton, TX 76513
Phone (254) 939-0962
2021 N Highway 121
Bonham, TX 75418
Phone (903) 583-5564
3800 W Walker St
Breckenridge, TX 76424
Phone (254) 559-2262
3500 W Alton Gloor Blvd
Brownsville, TX 78520
Phone (610) 745-4389
401 W Commerce St
Brownwood, TX 76801
Phone (325) 643-2029
643 N Harvey Mitchell Pkwy
Bryan, TX 77807
Phone (979) 599-9208
1901 S Texas Ave
Bryan, TX 77802
Phone (979) 599-5562
475 State Highway 36 N
Caldwell, TX 77836
Phone (979) 567-0234
1701 N 23rd St
Canyon, TX 79015
Phone (806) 655-1175
2214 N 1st St
Carrizo Springs, TX 78834
Phone (830) 876-3506
1213 E Trinity Mills Rd
#101216
Carrollton, TX 75006
Phone (469) 557-7390
4609 NW Loop
#436
Carthage, TX 75633
Phone (903) 693-6502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1950 McKinney St
Melissa, TX 75454-9957
Mailing address
1 Customer Dr
Bentonville, AR 72716-0445
Other names
- Walmart Pharmacy 10-1484
Other providers in Melissa, TX
- Katharine Verwer
- Vista Rehab Partners
- Vista Rehab Partners LP
- Vitality Medical Transportation
- Bhargavi Vududala
- Wal-Mart Stores Texas, LLC
- Kara Beth Watson
- Wellness Health Services
- Joy Denise Werner
- Where Help Is Found, PLLC
All providers in Melissa, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.