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UNITED SUPERMARKETS LLC NPI 1871584391


NPI Information

NPI: 1871584391
Provider Name: UNITED SUPERMARKETS LLC

Doing Business As: MARKET STREET PHARMACY #502

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D0954189

Address:
3405 50TH ST
LUBBOCK, TX
ZIP 79413
Phone: (806) 791-0972
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UNITED SUPERMARKETS LLC is a community/retail pharmacy pharmacy in Lubbock, TX. 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 1871584391. The provider is registered as an organization entity type.
The provider Is Doing Business As Market Street Pharmacy #502.

The provider's business location address is:

3405 50TH ST
LUBBOCK, TX
ZIP 79413-001
Phone: (806) 791-0972
Fax: (806) 791-1784

The provider's authorized official is Tim Purser .
The authorized official title is Director Of Pharmacy and has the following contact phone number (806) 791-8113.

The CLIA number assigned to this NPI record is 45D0954189 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 7/19/2018.


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 Pharmacy21426TEXASYes

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
12097983OTHERPK
2469440MEDICAIDTEXAS

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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