Wal-Mart Stores Texas, LLC
NPI 1528555463ActiveOrganization· Pharmacy· El Paso, TX
Pharmacy in El Paso, Texas, registered in NPPES in April 2018. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $15,680 for services to 69 patients in 2024.
Overview
| NPI | 1528555463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2018 |
| 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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 69 |
|---|---|
| Services billed | 224 across 11 procedure codes |
| Paid by Medicare | $15,680 |
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