{"npi":"1619242583","type":"NPI-2","status":"active","name":{"display":"Wal-Mart Stores Texas LLC","other":[],"organization_name":"WAL-MART STORES TEXAS LLC","authorised_official":"Kimberly Canonic"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"TX","license":"27908"}]},"addresses":[{"purpose":"LOCATION","street_1":"3100 CUSTER RD","city":"PLANO","state":"TX","postal_code":"750752060","country_code":"US","phone":"9722446722"},{"purpose":"MAILING","street_1":"702 SW 8TH ST","city":"BENTONVILLE","state":"AR","postal_code":"727166209","country_code":"US","phone":"4792771238","fax":"4792774331"}],"license":{"state":"TX","number":"27908"},"identifiers":[{"type_code":"01","label":"Other","value":"2134313","state":null,"issuer":"PK"},{"type_code":"05","label":"Medicaid","value":"469173","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20121221000019","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"TX","pac_id":"7719199165"}]},"enumeration_date":"2012-03-12","last_updated":"2025-06-05","_meta":{"source":"NPPES","snapshot_date":"2025-06-05","doc_url":"https://findmynpi.com/api"}}