NPIMap

Organization Active NPI

Minyard Food Stores Inc.

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1104904176
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17361 Issued in TX
Legal business name
MINYARD FOOD STORES INC.
Practice address
2121 S Buckner Blvd
Dallas, TX 75227-8602
Phone
(214) 381-1159
Fax
(214) 388-0633
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael D. Byars
Title
President/Ceo
Phone
(972) 393-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 17361 TX Primary

Addresses

Primary practice location

2121 S Buckner Blvd
Dallas, TX 75227-8602

Mailing address

2121 S Buckner Blvd
Dallas, TX 75227-8602
Phone (214) 381-1159

Other identifiers 2

IdentifierTypeStateIssuer
4598516OtherTXNABP ID#
463985MedicaidTX

Other names 1

  • Carnival Pharmacy #131 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Minyard Food Stores Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

2121 S Buckner Blvd
Dallas, TX 75227
Phone (214) 381-1159

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1104904176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278602",
            "telephone_number": "214-381-1159",
            "fax_number": "214-388-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278602",
            "telephone_number": "214-381-1159",
            "fax_number": "214-388-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINYARD FOOD STORES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "BYARS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "972-393-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "17361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP ID#",
            "identifier": "4598516",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463985",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carnival Pharmacy #131",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.