UNITED SUPERMARKETS LLC (NPI# 1144267600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144267600 |
| Entity Type | Organization |
| Organization Name | UNITED SUPERMARKETS LLC |
| Other Organization Name | MARKET STREET PHARMACY #674 |
| Practice Address |
4706 N Midkiff Rd Midland TX 79705-2564 |
| Mailing Address |
7830 Orlando Ave Lubbock TX 79423-1942 |
| Practice Telephone | 4326997578 |
| Practice Fax Number | 4326947312 |
| Mailing Telephone | 8067910220 |
| Mailing Fax Number | 8067917490 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-08-31 |
| 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 |
29385 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2099985 | 01 | |
| TX | 467068 | 05 |
| Other Name | Type Code |
|---|---|
| MARKET STREET PHARMACY #674 | 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 |
4706 N MIDKIFF RD |
| City | MIDLAND |
| State | TX |
| Zip Code | 79705-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881247203 | David Charles Webb | Pharmacist | 4706 N Midkiff Rd, Midland, TX 79705-2564 | 2019-07-24 |
| 1043651508 | Heather Nicole Williams | Pharmacist | 4706 N Midkiff Rd, Midland, TX 79705-2564 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
| 1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1689229429 | Michelle Ray | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Science Center, 3600 N. Garfield, Midland, TX 79705 | 2019-08-08 |
| 1649825001 | Marlene Cereceres | Student in an Organized Health Care Education/Training Program | 3600 N. Garfield, Midland, TX 79705 | 2019-08-02 |
| 1194370627 | Brianne Marie Hanson | Student in an Organized Health Care Education/Training Program | 3600 North Garfield, Midland, TX 79705 | 2019-08-01 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023571767 | Wecare Tlc- Pioneer Mco | Clinic/Center | 3617 N Big Sping, Midland, TX 79705 | 2019-04-10 |
| Find all providers in zip 79705 | ||||
| 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 |
|---|---|---|---|---|
| 1962024513 | Topline Care Pharmaceuticals LLC | Pharmacy | 4400 W Loop 250 N Ste 102, Midland, TX 79707-3166 | 2020-05-16 |
| 1083255996 | Symreet Mann | Pharmacy | 1111 N Midkiff Rd Ste A, Midland, TX 79701-2120 | 2019-10-02 |
| 1497246060 | Mekason Pharmacy, Inc | Pharmacy | 3205 W Cuthbert Ave Ste A5, Midland, TX 79701-5594 | 2018-05-19 |
| 1811273881 | Ben-ray Inc Dba Providerx | Pharmacy | 2208 N Loop 250 W # 101, Midland, TX 79707-6011 | 2011-10-22 |
| 1386961159 | Cvs Pharmacy Inc | Pharmacy | 301 Andrews Hwy, Midland, TX 79701-6333 | 2010-05-03 |
| 1811902463 | S R Rogers Inc | Pharmacy | 1601 W Wall St, Midland, TX 79701-6549 | 2006-07-30 |
| 1073563607 | Xme Inc | Pharmacy | 314 W Wackerly St Ste L, Midland, MI 48640-2766 | 2006-05-12 |
| 1750995338 | Frank Gung | Pharmacy | 3317 N Midland Dr, Midland, TX 79707-4602 | 2020-09-01 |
| 1982216651 | Costco Wholesale Corporation | Pharmacy | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1336780246 | Midland Care Pharmacy LLC | Pharmacy | 1111 N Midkiff Rd Ste A, Midland, TX 79701-2120 | 2019-10-02 |
| Find all providers in MIDLAND | ||||
Please comment or provide details below to improve the information on UNITED SUPERMARKETS LLC.
| 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.