UNITED SUPERMARKETS LLC (NPI# 1821253147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821253147 |
| Entity Type | Organization |
| Organization Name | UNITED SUPERMARKETS LLC |
| Other Organization Name | MARKET STREET PHARMACY #562 |
| Practice Address |
11999 Dallas Pkwy Frisco TX 75033-4272 |
| Mailing Address |
7830 Orlando Ave Lubbock TX 79423-1942 |
| Practice Telephone | 2148721515 |
| Practice Fax Number | 2148721516 |
| Mailing Telephone | 2083956200 |
| Mailing Fax Number | 8067917490 |
| Enumeration Date | 2008-07-25 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
26098 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 469935 | 05 | |
| PK | 2116381 | 01 |
| Other Name | Type Code |
|---|---|
| MARKET STREET PHARMACY #562 | 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 |
| 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 |
| Street Address |
11999 DALLAS PKWY |
| City | FRISCO |
| State | TX |
| Zip Code | 75033-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531886 | Ernest Mentesana | Pharmacist | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2020-09-01 |
| 1154950871 | Jeffery S. Ogea | Pharmacist | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2020-04-04 |
| 1669020749 | Kyle Robert Kleckner | Pharmacist | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2019-08-31 |
| 1174179170 | Viet Le Nguyen | Pharmacist | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2019-08-15 |
| 1851946248 | Tzukuan Young | Pharmacist | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2019-08-03 |
| 1609420470 | Matthew Joseph Cezar Rocha | Pharmacy Technician | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2019-07-30 |
| 1386298057 | Mary Elizabeth Even | Pharmacist | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2019-07-30 |
| 1013560895 | Clay Lewis | Pharmacist | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2019-07-19 |
| 1972831386 | Christiana N Acho | Nurse Practitioner | 11999 Dallas Pkwy, Frisco, TX 75034-4272 | 2009-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041370 | Crown Billing LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliot Dr., Ste 700, Frisco, TX 75033 | 2020-07-24 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1811548050 | Dvt Elimination LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr, Suite 700, Frisco, TX 75033 | 2019-09-27 |
| 1174008163 | Bobby Cineus Renaud | Registered Nurse | 1801 Mccord Way Apt 813, Frisco, TX 75033 | 2018-09-26 |
| 1740762186 | Lisa Powell | Physical Therapist | 3280 Appleblossom Dr, Frisco, TX 75033 | 2018-09-01 |
| 1992283519 | Crown Medical Billing | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr., Suite 700, Frisco, TX 75033 | 2018-08-06 |
| 1780175497 | Kendall Marie Schatzle | Occupational Therapist | 10050 Legacy Dr Ste 200, Frisco, TX 75033 | 2018-05-29 |
| 1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
| 1932611704 | Parul Vashisht | Dentist | 1606 Fm 423, Suite 200, Frisco, TX 75033 | 2017-11-01 |
| Find all providers in zip 75033 | ||||
| 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 |
|---|---|---|---|---|
| 1548876691 | Purehealth Pharmacy LLC | Pharmacy | 8750 Main St Ste 204, Frisco, TX 75033-3085 | 2020-09-23 |
| 1457985970 | Lifetimerx LLC | Pharmacy | 255 W Lebanon Ste 200a, Frisco, TX 75036-3411 | 2020-02-24 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1457908782 | Twin Rivers Pharmacy, LLC | Pharmacy | 7777 Warren Pkwy Ste 360, Frisco, TX 75034-6549 | 2019-08-21 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1518427715 | Cvs Pharmacy Inc | Pharmacy | 1177 Us Hwy 380, Frisco, TX 75068 | 2019-03-22 |
| 1669901856 | Frisco Pharmacy LLC | Pharmacy | 14550 Sh-121, Suite 150, Frisco, TX 75035 | 2017-06-09 |
| 1023403367 | Moike Enterprises LLC | Pharmacy | 9201 Warren Pkwy # 300, Frisco, TX 75035-6202 | 2015-04-03 |
| 1619101185 | Walgreen Co | Pharmacy | 7255 Coit Rd, Frisco, TX 75035-4906 | 2009-05-12 |
| 1699846212 | Parkside Pharmacy | Pharmacy | 6449 Coit Rd Ste 116, Frisco, TX 75035-8670 | 2006-11-13 |
| Find all providers in FRISCO | ||||
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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.