Organization Active NPI

RLS Supermarkets LLC

  • Community/Retail Pharmacy
  • McKinney, TX
National Provider Identifier
1174552137
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29911 Issued in TX
Legal business name
RLS SUPERMARKETS LLC
Practice address
3001 S Hardin Blvd
McKinney, TX 75070-7736
Phone
(972) 547-7110
Fax
(972) 547-7114
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
John Piper
Title
Director of Pharmacy
Phone
(972) 754-4436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29911 TX Primary

Addresses

Primary practice location

3001 S Hardin Blvd
McKinney, TX 75070-7736

Mailing address

3001 S Hardin Blvd
McKinney, TX 75070-7736
Phone (972) 547-7110

Other identifiers 2

IdentifierTypeStateIssuer
470475MedicaidTX
2150372OtherPK

Other names 1

  • MINYARD PHARMACY #73 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819001034 TX Part B Supplier - Centralized Flu Biller 6901703974 This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

3001 S Hardin Blvd
McKinney, TX 75070
Phone (469) 678-3680

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1174552137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S HARDIN BLVD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707736",
            "telephone_number": "972-547-7110",
            "fax_number": "972-547-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S HARDIN BLVD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707736",
            "telephone_number": "972-547-7110",
            "fax_number": "972-547-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLS SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "PIPER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "972-754-4436"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470475",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150372",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINYARD PHARMACY #73",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.