UNITED SUPERMARKETS LLC (NPI# 1255371621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255371621 |
| Entity Type | Organization |
| Organization Name | UNITED SUPERMARKETS LLC |
| Other Organization Name | ALBERTSONS MARKET PHARMACY #0928 |
| Practice Address |
11825 Lomas Blvd Ne Albuquerque NM 87112-5613 |
| Mailing Address |
7830 Orlando Ave Lubbock TX 79423-1942 |
| Practice Telephone | 5052939156 |
| Practice Fax Number | 5053231740 |
| Mailing Telephone | 2083956200 |
| Mailing Fax Number | 8067917490 |
| Enumeration Date | 2006-06-07 |
| 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 |
PH00004423 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 64691 | 05 | |
| PK | 2057080 | 01 |
| Other Name | Type Code |
|---|---|
| ALBERTSONS MARKET PHARMACY #0928 | 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 |
11825 LOMAS BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-5613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124500020 | Yasmine Awad | Pharmacist | 11825 Lomas Blvd Ne, Albuquerque, NM 87112-5613 | 2018-09-06 |
| 1043687890 | Kelly Marie Jones | Pharmacist | 11825 Lomas Blvd Ne, Albuquerque, NM 87112-5613 | 2015-08-27 |
| 1871997130 | Jessica Tilbury | Pharmacist | 11825 Lomas Blvd Ne, Albuquerque, NM 87112-5613 | 2014-10-15 |
| 1023450400 | Darlene D Chavez | Pharmacist | 11825 Lomas Blvd Ne, Albuquerque, NM 87112-5613 | 2013-07-25 |
| 1841552544 | Sarah B Ortmann | Pharmacist | 11825 Lomas Blvd Ne, Albuquerque, NM 87112-5613 | 2012-06-09 |
| 1083993083 | Brooke A Green | Pharmacist | 11825 Lomas Blvd Ne, Albuquerque, NM 87112-5613 | 2011-08-08 |
| 1003104647 | Roxanna Love Vick | Pharmacist | 11825 Lomas Blvd Ne, Albuquerque, NM 87112-5613 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| 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 |
|---|---|---|---|---|
| 1336665439 | Bryan Yamashita | Pharmacy | 7215 Primrose Dr Nw, Albuquerque, NM 87120-5277 | 2017-08-21 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1902358468 | Southwest Home Solutions LLC | Pharmacy | 205 Silver Ave Sw Ste D, Albuquerque, NM 87102-3593 | 2016-11-01 |
| 1740663293 | Abq Bestcare Pharmacy -1 LLC | Pharmacy | 2929 Coors Blvd Nw Ste 110, Albuquerque, NM 87120-1272 | 2015-07-01 |
| 1922437409 | Lovelace Health System | Pharmacy | 9501 Paseo Del Norte Ne Ste C, Albuquerque, NM 87122-2998 | 2013-11-05 |
| 1366789331 | Cvs Pharmacy Inc. | Pharmacy | 2120 Louisiana Blvd Ne, Albuquerque, NM 87110-5402 | 2013-01-11 |
| 1104178201 | Lbh Pharmacy LLC | Pharmacy | 7226 Central Ave Se Ste I, Albuquerque, NM 87108-2000 | 2012-10-12 |
| 1063693943 | Smiths Food & Drug Centers Inc | Pharmacy | 4800 Mcmahon Blvd Nw, Albuquerque, NM 87114-5010 | 2007-11-19 |
| 1710167754 | Costco Wholesale Corporation | Pharmacy | 9955 Coors Byp Nw, Albuquerque, NM 87114 | 2007-11-07 |
| 1053505065 | Cvs Pharmacy Inc. | Pharmacy | 11120 Lomas Blvd Ne, Albuquerque, NM 87112-5582 | 2007-09-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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.