NPIMap

Organization Active NPI

United Supermarkets, LTD.

Doing business as United Pharmacy 425

  • Community/Retail Pharmacy
  • Perryton, TX
National Provider Identifier
1255479341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25295 Issued in TX
Legal business name
UNITED SUPERMARKETS, LTD.
Doing business as
United Pharmacy 425
Practice address
122 S Main St
Perryton, TX 79070-2659
Phone
(806) 435-3636
Fax
(806) 436-3638
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Suzann Kirby
Title
VP and Cfo
Phone
(806) 791-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25295 TX Primary

Addresses

Primary practice location

122 S Main St
Perryton, TX 79070-2659

Mailing address

7830 Orlando Ave
Lubbock, TX 79423-1942
Phone (806) 791-0220

Other identifiers 1

IdentifierTypeStateIssuer
466332MedicaidTX

Other names 1

  • United Pharmacy 425 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Pharmacy41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255479341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 ORLANDO AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231942",
            "telephone_number": "806-791-0220",
            "fax_number": "806-791-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790702659",
            "telephone_number": "806-435-3636",
            "fax_number": "806-436-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUPERMARKETS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SUZANN",
        "authorized_official_title_or_position": "VP AND CFO",
        "authorized_official_telephone_number": "806-791-0220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466332",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Pharmacy 425",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perryton, 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.