NPIMap

Organization Active NPI

RLS Supermarkets LLC

Doing business as Minyard Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1316023880
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27543 Issued in TX
Legal business name
RLS SUPERMARKETS LLC
Doing business as
Minyard Pharmacy
Practice address
3230 Martin Luther King Jr Blvd
Dallas, TX 75210-2417
Phone
(214) 421-1067
Fax
(214) 426-7586
NPI assigned
Oct 27, 2006
Last updated
Jul 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Ray Schalek
Title
Managing Officer
Phone
(325) 277-3524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27543 TX Primary

Addresses

Primary practice location

3230 Martin Luther King Jr Blvd
Dallas, TX 75210-2417

Mailing address

Dept. D8020
PO Box 650002
Dallas, TX 75265
Phone (325) 277-3524

Other identifiers 2

IdentifierTypeStateIssuer
2130866OtherPK
470463MedicaidTX

Other names 1

  • Minyard Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1316023880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. D8020",
            "address_2": "PO BOX 650002",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "325-277-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752102417",
            "telephone_number": "214-421-1067",
            "fax_number": "214-426-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLS SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "SCHALEK",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "325-277-3524"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130866",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470463",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minyard Pharmacy",
            "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 Jul 20, 2016; 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.