NPIMap

Organization Active NPI

Minyard Food Stores Inc.

Doing business as Sack 'n Save #210

  • Community/Retail Pharmacy
  • Mesquite, TX
National Provider Identifier
1396818290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12846 Issued in TX
Legal business name
MINYARD FOOD STORES INC.
Doing business as
Sack 'n Save #210
Practice address
1220 N Town East Blvd
Mesquite, TX 75150-7605
Phone
(972) 279-1221
Fax
(972) 613-6047
NPI assigned
Nov 16, 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
97239383700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 12846 TX Primary

Addresses

Primary practice location

1220 N Town East Blvd
Mesquite, TX 75150-7605

Mailing address

1220 N Town East Blvd
Mesquite, TX 75150-7605
Phone (972) 279-1221

Other identifiers 2

IdentifierTypeStateIssuer
462928MedicaidTX
4577055OtherTXNABP ID #

Other names 1

  • Sack 'n Save #210 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

1220 N Town East Blvd
Mesquite, TX 75150
Phone (972) 279-1221

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396818290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507605",
            "telephone_number": "972-279-1221",
            "fax_number": "972-613-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507605",
            "telephone_number": "972-279-1221",
            "fax_number": "972-613-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINYARD FOOD STORES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "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": "97239383700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "12846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462928",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP ID #",
            "identifier": "4577055",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sack 'n Save #210",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, 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.