OrganizationActive
Wal-Mart Stores Texas LLC
NPI 1659773828 · Community/Retail Pharmacy · Edgewood, TX
Wal-Mart Stores Texas LLC is a Community/Retail Pharmacy organization in Edgewood, TX (NPI 1659773828).
Provider details
- NPI number
- 1659773828
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Laura Levine, Dir. Healthcare Contracting(479) 204-8550
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
504 W Pine St
Edgewood, TX 75117-2944
Phone: (903) 896-7053
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Pharmacy 10-2363
Registry dates
- Enumerated
- 2014-09-19
- Last updated
- 2015-04-29
Frequently asked questions
- What is Wal-Mart Stores Texas LLC's NPI number?
- Wal-Mart Stores Texas LLC's National Provider Identifier (NPI) is 1659773828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores Texas LLC?
- Wal-Mart Stores Texas LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Wal-Mart Stores Texas LLC located?
- Wal-Mart Stores Texas LLC's practice location on file with NPPES is 504 W Pine St, Edgewood, TX 75117-2944.
- What is Wal-Mart Stores Texas LLC's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores Texas LLC is (903) 896-7053.
- Who is the authorized official for Wal-Mart Stores Texas LLC?
- The authorized official listed on Wal-Mart Stores Texas LLC's NPPES record is Laura Levine, Dir. Healthcare Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores Texas LLC's NPI active?
- Yes — Wal-Mart Stores Texas LLC's NPI (1659773828) is active in the NPPES registry as of the last update on 2015-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.