NPIMap

Organization Active NPI

Wal-Mart Stores Texas, LLC

Doing business as Walmart Pharmacy 10-1484

  • Community/Retail Pharmacy
  • Melissa, TX
National Provider Identifier
1386521797
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WAL-MART STORES TEXAS, LLC
Doing business as
Walmart Pharmacy 10-1484
Practice address
1950 McKinney St
Melissa, TX 75454-9957
Phone
(945) 234-6976
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Hien VuNPI 1871319780
Title
Director
Phone
(479) 371-1168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1950 McKinney St
Melissa, TX 75454-9957

Mailing address

1 Customer Dr
Bentonville, AR 72716-0445

Other names 1

  • Walmart Pharmacy 10-1484 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130611000245 TX Part B Supplier - Mass Immunization (Roster Biller Only) 7719199165 This NPI is an additional NPI on the enrollment
O20251215000838 TX DME Supplier - PharmacyDME Supplier - Optician 7719199165 Practice locations: Melissa, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2326659Walmart Pharmacy 10-14841950 McKinney St, Melissa, TX 75454Certificate of waiverJul 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wal-Mart Store Texas LP879 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Walmart Inc.

    dba Walmart Pharmacy 10-2050

    • Community/Retail Pharmacy
    • Henderson, NV
    • NPI 1043237142

    Member Of

    NPD member

Locations (25 of 196)

1619 Ambler Ave
Abilene, TX 79601
Phone (325) 672-4100

4350 Southwest Dr
Abilene, TX 79606
Phone (325) 695-3092

2711 SW 58th Ave
Amarillo, TX 79118
Phone (806) 513-6505

4215 Canyon Dr
Amarillo, TX 79110
Phone (806) 352-6360

521 S Central Expy
Anna, TX 75409
Phone (469) 425-4341

4801 S Cooper St
#101801
Arlington, TX 76017
Phone (817) 557-8740

1405 E Tyler St
Athens, TX 75751
Phone (903) 677-2501

201 US Highway 59 Loop
Atlanta, TX 75551
Phone (903) 490-0490

12900 N Interstate 35
Austin, TX 78753
Phone (512) 837-9530

2108 Bedford Rd
Bedford, TX 76021
Phone (817) 283-7529

2207 S Bridge St
Brady, TX 76825
Phone (325) 597-3456

3800 W Walker St
Breckenridge, TX 76424
Phone (254) 559-2262

795 Texas Ave
Bridge City, TX 77611
Phone (409) 735-2469

2721 Boca Chica Blvd
Brownsville, TX 78521
Phone (956) 544-0394

3500 W Alton Gloor Blvd
Brownsville, TX 78520
Phone (610) 745-4389

1901 S Texas Ave
Bryan, TX 77802
Phone (979) 599-5562

965 NW John Jones Dr
Burleson, TX 76028
Phone (817) 840-4609

475 State Highway 36 N
Caldwell, TX 77836
Phone (979) 567-0234

2214 N 1st St
Carrizo Springs, TX 78834
Phone (830) 876-3506

1025 W Trinity Mills Rd
Carrollton, TX 75006
Phone (800) 273-3455

1213 E Trinity Mills Rd
#101216
Carrollton, TX 75006
Phone (469) 557-7390

4609 NW Loop
#436
Carthage, TX 75633
Phone (903) 693-6502

820 E Belt Line Rd
Cedar Hill, TX 75104
Phone (469) 523-1213

201 Walton Way
Cedar Park, TX 78613
Phone (512) 528-0266

765 Hurst St
Center, TX 75935
Phone (915) 204-4062

Practitioners & affiliated clinicians

Practitioners 293

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 293

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1386521797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CUSTOMER DR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MCKINNEY ST",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549957",
            "telephone_number": "945-234-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART STORES TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "HIEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "479-371-1168"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walmart Pharmacy 10-1484",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melissa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.