RLS Supermarkets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29872 Issued in TX

Legal business name

RLS SUPERMARKETS LLC

Doing business as

Minyard Pharmacy #40

Practice address

7007 Arapaho Rd
Dallas, TX 75248-4158

Phone

(972) 387-8977

Fax

(972) 387-9360

NPI assigned

Jun 4, 2006

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Stearns

Title

Pharmacist in Charge

Phone

(972) 387-8977

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MINYARD PHARMACY #40 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Safeway Inc

  dba Safeway Phamracy #4837

  • Community/Retail Pharmacy
  • District Heights, MD
  • NPI 1588600191

  Member Of

  NPD member
• Star Markets Company Inc

  dba Shaws Pharmacy #2594

  • Community/Retail Pharmacy
  • Marshfield, MA
  • NPI 1548216070

  Member Of

  NPD member
• United Supermarkets LLC

  dba Albertsons Market Pharmacy #0904

  • Community/Retail Pharmacy
  • Albuquerque, NM
  • NPI 1124067509

  Member Of

  NPD member

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1346288701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484158",
            "telephone_number": "972-387-8977",
            "fax_number": "972-387-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484158",
            "telephone_number": "972-387-8977",
            "fax_number": "972-387-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLS SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "972-387-8977"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150196",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470470",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINYARD PHARMACY #40",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tazeen Rizvi, DO
• Syed-Ali Rizwan, M.D.
• RLJ Visiting Housecalls LLC
• RLS Supermarkets LLC (Minyard Pharmacy #34)
• RLS Supermarkets LLC (Minyard Pharmacy)
• RLS Supermarkets LLC (Minyard Pharmacy #41)
• RLS Supermarkets LLC (Minyard Pharmacy #32)
• RLS Supermarkets LLC (Minyard Pharmacy #68)
• RLS Supermarkets LLC (Minyard Pharmacy)
• RLS Supermarkets LLC (Minyard Pharmacy #97)

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.