MINYARD FOOD STORES INC. (NPI# 1740367614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740367614 |
| Entity Type | Organization |
| Organization Name | MINYARD FOOD STORES INC. |
| Other Organization Name | MINYARD PHARMACY #33 |
| Practice Address |
4245 E Berry St Ft Worth TX 76105-5002 |
| Practice Telephone | 8175364550 |
| Practice Fax Number | 8175364617 |
| Mailing Telephone | 8175364550 |
| Mailing Fax Number | 8175364617 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | MR. MICHAEL D. BYARS (PRESIDENT/CEO) |
| Authorized Official Telephone | 9723938700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
19060 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 464208 | 05 | |
| TX | NABP # | 4500927 | 01 |
| Other Name | Type Code |
|---|---|
| Minyard Pharmacy #33 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629143433 | Minyard Food Stores Inc. | Pharmacy | 7777 Forest Ln Ste A62, Dallas, TX 75230-6881 | 2006-11-21 |
| 1427137405 | Minyard Food Stores Inc. | Pharmacy | 1500 Stemmons, Denton, TX 76201 | 2006-11-02 |
| 1518044338 | Minyard Food Stores Inc. | Pharmacy | 125 Hall Rd, Seagoville, TX 75159-2915 | 2006-11-01 |
| 1104904150 | Minyard Food Stores Inc. | Pharmacy | 102 Nw 28th St, Ft Worth, TX 76106-7115 | 2006-11-01 |
| 1467530295 | Minyard Food Stores Inc. | Pharmacy | 1280 W Main St, Lewisville, TX 75067-3420 | 2006-11-01 |
| 1063599801 | Minyard Food Stores Inc. | Pharmacy | 1212 N Beach St, Ft Worth, TX 76111-6027 | 2006-11-01 |
| 1952489957 | Minyard Food Stores Inc. | Pharmacy | 2204 Airport Fwy, Bedford, TX 76022-6061 | 2006-11-01 |
| 1902984602 | Minyard Food Stores Inc. | Pharmacy | 811 E Highway 82, Gainesville, TX 76240-2209 | 2006-11-01 |
| 1366529117 | Minyard Food Stores Inc. | Pharmacy | 4906 N Jupiter Rd, Garland, TX 75044-5464 | 2006-11-01 |
| 1326126293 | Minyard Food Stores Inc. | Pharmacy | 7809 Camp Bowie W, Ft Worth, TX 76116-6417 | 2006-11-01 |
| Street Address |
4245 E BERRY ST |
| City | FT WORTH |
| State | TX |
| Zip Code | 76105-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| Find all providers in zip 76105 | ||||
| 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 |
|---|---|---|---|---|
| 1104904150 | Minyard Food Stores Inc. | Pharmacy | 102 Nw 28th St, Ft Worth, TX 76106-7115 | 2006-11-01 |
| 1063599801 | Minyard Food Stores Inc. | Pharmacy | 1212 N Beach St, Ft Worth, TX 76111-6027 | 2006-11-01 |
| 1326126293 | Minyard Food Stores Inc. | Pharmacy | 7809 Camp Bowie W, Ft Worth, TX 76116-6417 | 2006-11-01 |
| 1346328358 | Minyard Food Stores Inc. | Pharmacy | 3451 Altamesa Blvd, Ft Worth, TX 76133-5701 | 2006-11-01 |
| 1316024292 | Minyard Food Stores Inc. | Pharmacy | 3563 Alton Rd, Ft Worth, TX 76109-2834 | 2006-10-31 |
| 1548364359 | Cvs Pharmacy Inc | Pharmacy | 1201 N Beach St, Ft Worth, TX 76111-6043 | 2006-09-12 |
| 1679677462 | Cvs Pharmacy Inc | Pharmacy | 8520 Camp Bowie W, Ft Worth, TX 76116-6203 | 2006-09-12 |
| 1669576450 | Cvs Pharmacy Inc | Pharmacy | 3614 Camp Bowie Blvd, Ft Worth, TX 76107-3352 | 2006-09-12 |
| 1457455263 | Cvs Pharmacy Inc | Pharmacy | 4140 E Lancaster Ave, Ft Worth, TX 76103-3615 | 2006-09-12 |
| 1467562090 | Costco Wholesale Corporation | Pharmacy | 5300 Overton Ridge Blvd, Ft Worth, TX 76132 | 2006-08-30 |
| Find all providers in FT WORTH | ||||
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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.