NPIMap

Organization Active NPI

Minyard Food Stores Inc.

Doing business as Carnival Pharmacy #119

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1336227370
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17303 Issued in TX
Legal business name
MINYARD FOOD STORES INC.
Doing business as
Carnival Pharmacy #119
Practice address
3460 Webb Chapel Ext
Dallas, TX 75220-6751
Phone
(214) 358-3395
Fax
(214) 350-6272
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 17303 TX Primary

Addresses

Primary practice location

3460 Webb Chapel Ext
Dallas, TX 75220-6751

Mailing address

3460 Webb Chapel Ext
Dallas, TX 75220-6751
Phone (214) 358-3395

Other identifiers 2

IdentifierTypeStateIssuer
464134MedicaidTX
4503555OtherTXNCPDP

Other names 1

  • Carnival Pharmacy #119 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

3460 Webb Chapel Ext
Dallas, TX 75220
Phone (214) 350-6600

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": "1336227370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 WEBB CHAPEL EXT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752206751",
            "telephone_number": "214-358-3395",
            "fax_number": "214-350-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WEBB CHAPEL EXT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752206751",
            "telephone_number": "214-358-3395",
            "fax_number": "214-350-6272"
        }
    ],
    "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": "17303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464134",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4503555",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carnival Pharmacy #119",
            "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.