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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
31877 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 471234 | 05 | |
| PK | 2175447 | 01 |
| Other Name | Type Code |
|---|---|
| MARKET STREET PHARMACY #696 | Doing Business As Name - Organization |
| 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 |
| Street Address |
3145 E BROAD ST |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497308167 | Ashley Carroll | Pharmacist | 3145 E Broad St, Mansfield, TX 76063 | 2019-07-22 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.