UNITED SUPERMARKETS LLC (NPI# 1255378717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255378717 |
| Entity Type | Organization |
| Organization Name | UNITED SUPERMARKETS LLC |
| Other Organization Name | UNITED PHARMACY #676 |
| Practice Address |
2751 N County Rd W Odessa TX 79764-1665 |
| Mailing Address |
7830 Orlando Ave Lubbock TX 79423-1942 |
| Practice Telephone | 4323331591 |
| Practice Fax Number | 4323350839 |
| Mailing Telephone | 8067910220 |
| Mailing Fax Number | 8067917490 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | TIM PURSER (DIRECTOR OF PHARMACY) |
| 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 | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
29389 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2103751 | 01 | |
| TX | 469439 | 05 |
| Other Name | Type Code |
|---|---|
| ALBERTSONS MARKET PHARMACY | Doing Business As Name - Organization |
| UNITED PHARMACY #676 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578074985 | United Supermarkets LLC | Pharmacy | 3145 E Broad St, Mansfield, TX 76063 | 2017-10-12 |
| 1437601309 | United Supermarkets LLC | Pharmacy | 12815 Indiana Ave, Lubbock, TX 79423-5677 | 2016-10-26 |
| 1770907776 | United Supermarkets LLC | Pharmacy | 3552 S Soncy Rd, Amarillo, TX 79119-6672 | 2014-02-11 |
| 1649410184 | United Supermarkets LLC | Pharmacy | 1929 Preston Rd, Plano, TX 75093-5102 | 2009-02-24 |
| 1104062280 | United Supermarkets LLC | Pharmacy | 700 N Denton Tap Rd, Coppell, TX 75019-2162 | 2008-12-19 |
| 1821253147 | United Supermarkets LLC | Pharmacy | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2008-07-25 |
| 1265695266 | United Supermarkets LLC | Pharmacy | 1229 State Highway 16 S, Graham, TX 76450-3809 | 2008-07-09 |
| 1508042946 | United Supermarkets LLC | Pharmacy | 985 W Bethany Dr, Allen, TX 75013-3740 | 2008-01-16 |
| 1720286156 | United Supermarkets LLC | Durable Medical Equipment & Medical Supplies | 710 Paseo Del Pueblo Sur Ste A, Taos, NM 87571-5998 | 2007-07-06 |
| 1750410536 | United Supermarkets LLC | Pharmacy | 900 W 2nd St, Roswell, NM 88201-3006 | 2007-03-05 |
| Street Address |
2751 N COUNTY RD W |
| City | ODESSA |
| State | TX |
| Zip Code | 79764-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112454 | Shaikat Banerjee | Pharmacist | 2751 N County Rd W, Odessa, TX 79764-1665 | 2019-09-04 |
| 1821598939 | Maichel Roshdy | Pharmacist | 2751 N County Rd W, Odessa, TX 79764-1665 | 2018-02-15 |
| 1790020279 | Stephanie Trower | Pharmacist | 2751 N County Rd W, Odessa, TX 79764-1665 | 2012-12-10 |
| 1649515263 | William Brandon Ammons | Pharmacist | 2751 N County Rd W, Odessa, TX 79764-1665 | 2012-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710466610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3050 W University Blvd, Odessa, TX 79764 | 2018-08-10 |
| 1962897405 | H-e-b, Lp | Clinical Medical Laboratory | 2501 W. University Blvd, Odessa, TX 79764 | 2015-04-01 |
| 1184022758 | Md Moinul Islam | Physician Assistant | 6030 W. University, Odessa, TX 79764 | 2014-12-15 |
| 1962618637 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 10036 West Westland Drive, Odessa, TX 79764 | 2007-05-16 |
| 1992119838 | Gary Chase Jackson | Optometrist | 6030 W University Blvd, Odessa, TX 79764 | 2014-06-18 |
| 1609128594 | Amanda Lynn Paradeaux | Nurse Practitioner | 3001 W University Blvd, Odessa, TX 79764 | 2012-10-03 |
| 1760619498 | Cindy A Smith | Speech-Language Pathologist | 8712 Claymoor Dr, Odessa, TX 79764-1252 | 2009-06-21 |
| 1003316084 | Maranda Pina Garza | Licensed Vocational Nurse | 24 Bookins Ct, Odessa, TX 79764-1401 | 2018-02-16 |
| 1366512030 | Modern Dental Professionals-midland Odessa PC | Dentist | 2818 N County Rd W, Odessa, TX 79764-1666 | 2006-11-09 |
| 1467085183 | Adriana Salcido Herrera | Dental Hygienist | 2818 N County Rd W, Odessa, TX 79764-1666 | 2020-02-21 |
| Find all providers in zip 79764 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394427 | Mekason Pharmacy Odessa, Inc | Pharmacy | 3600 N Dixie Blvd, Odessa, TX 79762-6845 | 2020-07-28 |
| 1962918581 | Dorado Rx Pharmacy,llc | Pharmacy | 4060 Faudree Rd Ste 101, Odessa, TX 79765-8755 | 2017-12-19 |
| 1174645477 | Med 1st LLC | Pharmacy | 11206 Challenger Ave, Unit D, Odessa, FL 33556-3482 | 2007-04-06 |
| 1689702326 | Odessa Drugs | Pharmacy | 19 W. 1st Ave., Odessa, WA 99159-0189 | 2007-03-02 |
| 1306851209 | Walgreen Co | Pharmacy | 2161 E 42nd St, Odessa, TX 79762-5842 | 2006-07-29 |
| 1699313767 | Sunflower Rx, LLC | Pharmacy | 700 N Grant Ave Ste 150, Odessa, TX 79761-4535 | 2019-12-19 |
| 1427396332 | Cvs Pharmacy Inc | Pharmacy | 4101 E 42nd St, Odessa, TX 79762-7239 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| 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.