NPIMap

Organization Active NPI

Minyard Food Stores Inc

Doing business as Minyard Pharmacy #63

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1215014055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13461 Issued in TX
Legal business name
MINYARD FOOD STORES INC
Doing business as
Minyard Pharmacy #63
Practice address
2118 Abrams Rd
Dallas, TX 75214-3918
Phone
(214) 823-4961
Fax
(214) 826-1372
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 13461 TX Primary

Addresses

Primary practice location

2118 Abrams Rd
Dallas, TX 75214-3918

Mailing address

2118 Abrams Rd
Dallas, TX 75214-3918
Phone (214) 823-4961

Other identifiers 2

IdentifierTypeStateIssuer
463186MedicaidTX
4580040OtherTXNABP ID#

Other names 1

  • Minyard Pharmacy #63 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

2118 Abrams Rd
Dallas, TX 75214
Phone (214) 823-4961

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": "1598054400000",
    "number": "1215014055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143918",
            "telephone_number": "214-823-4961",
            "fax_number": "214-826-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143918",
            "telephone_number": "214-823-4961",
            "fax_number": "214-826-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINYARD FOOD STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "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": "13461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463186",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP ID#",
            "identifier": "4580040",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minyard Pharmacy #63",
            "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 Aug 22, 2020; 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.