UNITED SUPERMARKETS, L.L.C. (NPI# 1073504460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073504460 |
| Entity Type | Organization |
| Organization Name | UNITED SUPERMARKETS, L.L.C. |
| Practice Address |
2105 Avenue F Nw Childress TX 79201-2219 |
| Mailing Address |
7830 Orlando Ave Lubbock TX 79423-1942 |
| Practice Telephone | 9409378242 |
| Practice Fax Number | 9409372054 |
| Mailing Telephone | 8067910220 |
| Mailing Fax Number | 8067917490 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | TIM PURSER (DIRECTOR PHARMACY SERVICES) |
| Authorized Official Telephone | 8067910220 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 21406 | TX | Suppliers |
| Y | 333600000X | Pharmacy | 21406 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149310801 | 05 | |
| TX | NCPDP | 4594140 | 01 |
| TX | 465181 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558409482 | United Supermarkets, L.L.C. | Pharmacy | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-02-02 |
| 1881732816 | United Supermarkets, L.L.C. | Pharmacy | 4701 S Washington St, Amarillo, TX 79110-2619 | 2007-02-02 |
| 1407834088 | United Supermarkets, L.L.C. | Durable Medical Equipment & Medical Supplies | 920 N Willis St, Abilene, TX 79603-4621 | 2006-01-04 |
| 1649257551 | United Supermarkets, L.L.C. | Durable Medical Equipment & Medical Supplies | 5605 Colleyville Blvd, Colleyville, TX 76034-6022 | 2005-12-30 |
| 1578554937 | United Supermarkets, L.L.C. | Durable Medical Equipment & Medical Supplies | 1000 W 11th St, Quanah, TX 79252-5214 | 2005-11-03 |
| 1912998378 | United Supermarkets, L.L.C. | Durable Medical Equipment & Medical Supplies | 311 S Avenue D, Burkburnett, TX 76354-3580 | 2005-11-03 |
| 1710978101 | United Supermarkets, L.L.C. | Durable Medical Equipment & Medical Supplies | 4590 Kell Blvd, Wichita Falls, TX 76309-4744 | 2005-11-03 |
| 1750372207 | United Supermarkets, L.L.C. | Durable Medical Equipment & Medical Supplies | 3000 Wilbarger St, Vernon, TX 76384-4574 | 2005-11-03 |
| 1942202239 | United Supermarkets, L.L.C. | Pharmacy | 7830 Orlando Ave, Lubbock, TX 79423-1942 | 2005-06-01 |
| Street Address |
2105 AVENUE F NW |
| City | CHILDRESS |
| State | TX |
| Zip Code | 79201-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450499 | Mincy Mathew | Pharmacist | 2105 Avenue F Nw, Childress, TX 79201-2219 | 2020-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567684 | Amie Hope Thomas | Counselor | 132 N Main St Ste D, Childress, TX 79201 | 2019-09-16 |
| 1710465182 | Tara Sims | Counselor | 101 Avenue C Ne, Childress, TX 79201 | 2018-07-30 |
| 1013391242 | Amanda Jo Browning Tucker | Optometrist | 707 Avenue F Nw, Childress, TX 79201 | 2015-07-17 |
| 1811332257 | Childress Outpost Pharmacy Inc | Pharmacy | 805 Hwy 83 N., Childress, TX 79201 | 2013-04-29 |
| 1700196748 | Cheryl Lynn Gary | Nurse Practitioner | 901 Hwy 83, Childress, TX 79201 | 2010-10-08 |
| 1205093341 | Dr Lendon Davis | Optometrist | 500 2nd St Ne, Childress, TX 79201 | 2008-05-16 |
| 1871777805 | Aimee Bowman | Physical Therapist | 901 Hwy 83 North, Childress, TX 79201 | 2007-12-27 |
| 1386726628 | Joseph Steele | Anesthesiology | 901 Highway 83 North, Childress, TX 79201 | 2006-10-19 |
| 1235220880 | Peter N Jones | Nurse Practitioner | 1001 Us Hwy 83 N, Childress, TX 79201 | 2006-09-27 |
| 1174625362 | Childress County Hospital District | Clinic/Center | 910 Rear Oak Lane, Childress, TX 79201 | 2006-09-01 |
| Find all providers in zip 79201 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1205435138 | N.p. Consultants Viii, LLC | Pharmacy | 2115 Pleasanton Rd Ste 100, San Antonio, TX 78221-1300 | 2020-10-21 |
| 1619575362 | Ava Healthcare LLC | Pharmacy | 1600 W Louisiana St Ste 700, Mckinney, TX 75069-7881 | 2020-10-14 |
| 1174120562 | Medela Pharmacy Inc | Pharmacy | 6550 Mapleridge St Ste 200, Houston, TX 77081-4647 | 2020-10-08 |
| 1891392387 | Scriptdash Inc | Pharmacy | 475 State Highway 121 Byp Ste 150, Lewisville, TX 75067-8154 | 2020-10-07 |
| 1164037594 | Nanes Pharmacy LLC | Pharmacy | 17030 Nanes Dr Ste 105a, Houston, TX 77090-2503 | 2020-09-11 |
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1407469471 | Scriptdash Inc | Pharmacy | 6201 W Plano Pkwy Ste 400, Plano, TX 75093-4907 | 2020-08-28 |
| 1104439629 | Rxmed Pharmacy Pllc | Pharmacy | 502 N Valley Pkwy Ste 1a, Lewisville, TX 75067-3437 | 2020-08-25 |
| 1265045751 | Homecare Pharmacy LLC | Pharmacy | 8700 S Braeswood Blvd Ste B2, Houston, TX 77031-1338 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.