Wal-mart Stores Texas Llc

Community/Retail Pharmacy Accepts Medicare


  
  4100 W Airport Fwy, Irving
Texas, 75062-5913

 972-313-0701   
Wal-mart Stores Texas Llc is a Community/Retail Pharmacy in Irving, Texas. It is located at 4100 W Airport Fwy, Irving and it's customer support contact number is 972-313-0701. The authorized person of Wal-mart Stores Texas Llc is Kimberly Canonic who is Senior Director, Enrollment of the pharmacy and his contact number is 480-277-6348. Active license number of Wal-mart Stores Texas Llc is 21919 for Community/Retail Pharmacy in Texas. Wal-mart Stores Texas Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wal-mart Stores Texas Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Wal-mart Stores Texas Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Wal-mart Stores Texas Llc
Type: Community/Retail Pharmacy
Location:4100 W Airport Fwy, Irving,
Texas, 75062-5913
Phone:972-313-0701
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Kimberly Canonic
Position: Senior Director, Enrollment
Contact Number: 480-277-6348
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1316964562
NPI Enumeration Date: 16 Jul, 2006
NPI Last Update On: 03 Jun, 2025

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wal-mart Stores Texas Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 21919TexasPrimary
Durable Medical Equipment & Medical Supplies Secondary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
469771MedicaidTexas
2096629OtherPk
Medicare Enrollment:
Wal-mart Stores Texas Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
7719199165O20100930087719Wal-mart Stores Texas, LlcDME SUPPLIER - PHARMACY
Products Available:
Wal-mart Stores Texas Llc has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Mail Order
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Enteral Nutrients
  • Ostomy Supplies
  • Prosthetic Lenses: Conventional Contact Lenses
  • Prosthetic Lenses: Conventional Eyeglasses
  • Surgical Dressings
  • Walkers
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 702 Sw 8th St,
    Bentonville, Arkansas
    Zip: 72716-0445
    Phone Number: 479-277-1238
    Fax Number: 479-277-4331
    Patients can reach Wal-mart Stores Texas Llc at 4100 W Airport Fwy, Irving, Texas or can call on customer care at 972-313-0701.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.

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