UNITED SUPERMARKETS, LLC (NPI# 1659808434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659808434 |
| Entity Type | Organization |
| Organization Name | UNITED SUPERMARKETS, LLC |
| Other Organization Name | UNITED PHARMACY #552 |
| Practice Address |
6313 4th St Lubbock TX 79416-4006 |
| Mailing Address |
7830 Orlando Ave Lubbock TX 79423-1942 |
| Practice Telephone | 8067841515 |
| Practice Fax Number | 8067841516 |
| Mailing Telephone | (806) 791-8113 |
| Mailing Fax Number | 8067917490 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-08-17 |
| Authorized Official Name | MR. TIM PURSER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8067918113 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
31491 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NCPDP # | APPLIED FOR | 01 |
| Other Name | Type Code |
|---|---|
| UNITED PHARMACY #552 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028902 | United Supermarkets, LLC | Pharmacy | 2783 S Cedar, Pecos, TX 79772 | 2020-06-24 |
| Street Address |
6313 4TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| 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.