Organization Active NPI

Minyard Food Stores Inc.

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1184701914
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12412 Issued in TX
Legal business name
MINYARD FOOD STORES INC.
Practice address
131 Webbs Royal PLZ
Dallas, TX 75229-3734
Phone
(214) 357-0257
Fax
(214) 352-4593
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 12412 TX Primary

Addresses

Primary practice location

131 Webbs Royal PLZ
Dallas, TX 75229-3734

Mailing address

131 Webbs Royal PLZ
Dallas, TX 75229-3734
Phone (214) 357-0257

Other identifiers 2

IdentifierTypeStateIssuer
4575190OtherTXNABP #
462853MedicaidTX

Other names 1

  • Minyard Pharmacy #60 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

131 Webb Royal Plz
Dallas, TX 75229
Phone (214) 357-0257

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": "1195084800000",
    "number": "1184701914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WEBBS ROYAL PLZ",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293734",
            "telephone_number": "214-357-0257",
            "fax_number": "214-352-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WEBBS ROYAL PLZ",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293734",
            "telephone_number": "214-357-0257",
            "fax_number": "214-352-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINYARD FOOD STORES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-15",
        "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": "12412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "4575190",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462853",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minyard Pharmacy #60",
            "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 15, 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.