Wal-Mart Stores Texas, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WAL-MART STORES TEXAS, LLC

Practice address

8840 Benbrook Blvd
Benbrook, TX 76126-3440

Phone

(682) 233-6832

Fax

(817) 249-7375

NPI assigned

Jun 2, 2014

Organization subpart

Yes

Parent organization

WAL-MART STORES, INC.As reported in NPPES

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

Authorized official

Name

Laura Levine

Title

Director of Healthcare Contracting

Phone

(479) 204-8550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walmart Care Clinic 10-4509 Other name

Part of

Walmart Pharmact

Member of 1

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

• Walmart Inc.

  • Community/Retail Pharmacy
  • Pearl City, HI
  • NPI 1174541650

  Member Of

  NPD member

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1801208426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160445",
            "telephone_number": "479-204-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 BENBROOK BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761263440",
            "telephone_number": "682-233-6832",
            "fax_number": "817-249-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART STORES TEXAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAL-MART STORES, INC.",
        "enumeration_date": "2014-06-02",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTHCARE CONTRACTING",
        "authorized_official_telephone_number": "479-204-8550"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "358654ZHTP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walmart Care Clinic 10-4509",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sophia Vigilante
• Village Pediatrics, PA
• Vista Living of Archer, Inc.
• Vista Living of Vernon, Inc.
• Wal-Mart Stores Texas LLC
• Walgreen Co
• David James Walker, ATC
• Mikayla Rose Walker
• Claudia Kristen Ward
• Bradley Douglas Warren, LPC

• Nurse Practitioner in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.