UNITED SUPERMARKETS L.L.C. NPI 1912998378

NPI Information

NPI: 1912998378
Provider Name: UNITED SUPERMARKETS, L.L.C.
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
311 S AVENUE D
BURKBURNETT, TX
ZIP 76354
Phone: (940) 569-3319
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UNITED SUPERMARKETS, L.L.C. is a pharmacy in Burkburnett, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. UNITED SUPERMARKETS, L.L.C. NPI is 1912998378. The provider is registered as an organization entity type.

The provider's business location address is:

311 S AVENUE D
BURKBURNETT, TX
ZIP 76354-580
Phone: (940) 569-3319
Fax: (940) 569-5359

The provider's authorized official is Tim Purser .
The authorized official title is Director Pharmacy Services and has the following contact phone number (806) 791-0220.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 7/8/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		21389	TEXAS	No
2	333600000X	Pharmacy		21389	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PH0341	MEDICARE PIN	TEXAS
2	149313201	MEDICAID	TEXAS
3	4576344	OTHER	TEXAS	NCPDP
4	465178	MEDICAID	TEXAS
5	4077810030	MEDICARE NSC

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: 5/5/2024

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