UNITED SUPERMARKETS LLC (NPI# 1477531366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477531366 |
| Entity Type | Organization |
| Organization Name | UNITED SUPERMARKETS LLC |
| Other Organization Name | MARKET STREET PHARMACY #553 |
| Practice Address |
4425 19th St Lubbock TX 79407-2408 |
| Mailing Address |
7830 Orlando Ave Lubbock TX 79423-1942 |
| Practice Telephone | 8067882015 |
| Practice Fax Number | 8067882016 |
| Mailing Telephone | 2083956200 |
| Mailing Fax Number | 8067917490 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | TIM PURSER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8067917410 |
| Authorized Official Credential | CPHT |
| 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 |
21408 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2098859 | 01 | |
| TX | 465189 | 05 | |
| TX | 148892601 | 05 |
| Other Name | Type Code |
|---|---|
| MARKET STREET PHARMACY #553 | 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 |
4425 19TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865019 | Wesley Cunningham | Pharmacist | 4425 19th St, Lubbock, TX 79407-2408 | 2020-09-10 |
| 1134619067 | Jeff Hannon | Pharmacist | 4425 19th St, Lubbock, TX 79407-2408 | 2018-05-16 |
| 1417447780 | Dennis Joe Storch | Pharmacist | 4425 19th St, Lubbock, TX 79407-2408 | 2018-05-12 |
| 1689164915 | Marshall Allen Rauch | Pharmacist | 4425 19th St, Lubbock, TX 79407-2408 | 2018-05-11 |
| 1174022172 | David Mark Thompson | Pharmacist | 4425 19th St, Lubbock, TX 79407-2408 | 2018-02-05 |
| 1275998593 | Suzanne Thompson | Pharmacist | 4425 19th St, Lubbock, TX 79407 | 2015-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| 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 |
|---|---|---|---|---|
| 1093114845 | Apothecarxy Specialty LLC | Pharmacy | 5214 98th Street, Suite 302, Lubbock, TX 79424 | 2014-08-18 |
| 1235559865 | Parkway Pharmacy | Pharmacy | 1824 Parkway Dr, Set 100, Lubbock, TX 79403-4406 | 2014-04-22 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1083997639 | L C Pharma of Lubbock LLC | Pharmacy | 3801 22nd St Ste 1a, Lubbock, TX 79410-1113 | 2011-09-21 |
| 1871636738 | Texas Tech Student Health Pharmacy | Pharmacy | 1003 Flint Ave., Lubbock, TX 79409 | 2007-02-14 |
| 1053473918 | Stok-pharms Inc | Pharmacy | 8211 Indiana Ave, Lubbock, TX 79423-2832 | 2006-12-15 |
| 1306912068 | Lowe's Marketplace Pharmacy #81 | Pharmacy | 8208 Slide Rd, Lubbock, TX 79424-3436 | 2006-11-27 |
| 1205933603 | Cvs Pharmacy Inc | Pharmacy | 3801 19th St, Lubbock, TX 79410-1001 | 2006-09-20 |
| 1679670178 | Cvs Pharmacy Inc | Pharmacy | 5208 98th St, Lubbock, TX 79424-4493 | 2006-09-20 |
| 1346344124 | Cvs Pharmacy Inc | Pharmacy | 3402 50th St, Lubbock, TX 79413-4002 | 2006-09-12 |
| Find all providers in LUBBOCK | ||||
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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.