Wal-Mart Stores Texas LLC
NPI 1215475736ActiveOrganization· Pharmacy· Katy, TX
Pharmacy in Katy, Texas, registered in NPPES in February 2017. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $13,884 for services to 60 patients in 2024.
Overview
| NPI | 1215475736 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2017 |
| Last updated in NPPES | Jun 11, 2025 |
| Certified by provider | Jun 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 190 across 8 procedure codes |
| Paid by Medicare | $13,884 |
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