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UNITED SUPERMARKETS LLC NPI 1396784773


NPI Information

NPI: 1396784773
Provider Name: UNITED SUPERMARKETS LLC

Doing Business As: MARKET STREET PHARMACY #927

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
600 N GUADALUPE ST
SANTA FE, NM
ZIP 87501
Phone: (505) 982-4806
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UNITED SUPERMARKETS LLC is a community/retail pharmacy pharmacy in Santa Fe, NM. The provider is 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. UNITED SUPERMARKETS LLC NPI is 1396784773. The provider is registered as an organization entity type.
The provider Is Doing Business As Market Street Pharmacy #927.

The provider's business location address is:

600 N GUADALUPE ST
SANTA FE, NM
ZIP 87501-632
Phone: (505) 982-4806
Fax: (505) 982-5138

The provider's authorized official is Tim Purser .
The authorized official title is Director Of Pharmacy and has the following contact phone number (806) 791-7410.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 11/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPH00004375NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150888269MEDICAIDNEW MEXICO
22058864OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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