UNITED SUPERMARKETS LLC


Address: 3145 E Broad St, Mansfield, TX 76063
Phone: 8174536015

UNITED SUPERMARKETS LLC (NPI# 1578074985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578074985
Entity Type Organization
Organization Name UNITED SUPERMARKETS LLC
Other Organization Name MARKET STREET PHARMACY #696
Practice Address 3145 E Broad St
Mansfield
TX 76063
Mailing Address 7830 Orlando Ave
Lubbock
TX 79423-1942
Practice Telephone 8174536015
Practice Fax Number 8174536016
Mailing Telephone 8067918113
Mailing Fax Number 8067917490
Enumeration Date 2017-10-12
Last Update Date 2018-06-08
Authorized Official Name TIM PURSER (DIRECTOR OF PHARMACY)
Authorized Official Telephone 8067917410
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
31877 TX Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
TX 471234 05
PK 2175447 01

Other Provider/Organization Names

Other Name Type Code
MARKET STREET PHARMACY #696 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1164560256 United Supermarkets LLC Pharmacy 2802 Hwy 83 South, Perryton, TX 79070 2007-02-02

Office Location

Street Address 3145 E BROAD ST
City MANSFIELD
State TX
Zip Code 76063

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497308167 Ashley Carroll Pharmacist 3145 E Broad St, Mansfield, TX 76063 2019-07-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
Find all providers in zip 76063

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316439748 Ambika Pharmacy LLC Pharmacy 2300 Matlock Rd Ste 37, Mansfield, TX 76063-5018 2018-06-01
1992104194 Shatiff Pharmacy Inc Pharmacy 2771 E Broad St Ste 219, Mansfield, TX 76063-9157 2014-08-14
1124459870 Melrose Pharmacy LLC Pharmacy 2860 Highway 157 N Ste 120, Mansfield, TX 76063-8883 2013-12-06
1205922457 Coles Pharmacy Pharmacy 2 S Main Street, Mansfield, PA 16933-1508 2006-10-05
1043311509 Pennsylvania Cvs Pharmacy, L.L.C. Pharmacy 197 N Main St, Mansfield, PA 16933-1311 2006-09-26
1467551838 Cvs Pharmacy Inc Pharmacy 261 Chauncy St, Mansfield, MA 02048-1247 2006-09-22
1427156272 Cvs Pharmacy Inc Pharmacy 2882 N Fm 157, Mansfield, TX 76063 2006-09-20
1245334036 Cvs Pharmacy Inc Pharmacy 1100 N Walnut Creek Dr, Mansfield, TX 76063-2502 2006-09-12
1063515765 Ohio Cvs Stores LLC Pharmacy 1411 Lexington Ave, Mansfield, OH 44907-2629 2006-09-07
1679588644 Walgreen Co Pharmacy 750 N Walnut Creek Dr, Mansfield, TX 76063-3208 2006-07-29
Find all providers in MANSFIELD

Competitor

Search similar providers

City MANSFIELD
Zip Code 76063

Improve Information

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Dataset Information

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.

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