RLS Supermarkets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29833 Issued in TX

Legal business name

RLS SUPERMARKETS LLC

Doing business as

Minyard Pharmacy #49

Practice address

1108 N Highway 377
Roanoke, TX 76262-9121

Phone

(817) 491-4003

Fax

(817) 491-4350

NPI assigned

Jun 1, 2006

Last updated

Jul 19, 2016By 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

John Piper

Title

Director of Pharmacy

Phone

(972) 227-1222

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MINYARD PHARMACY #49 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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1558308015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N HIGHWAY 377",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762629121",
            "telephone_number": "817-491-4003",
            "fax_number": "817-491-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N HIGHWAY 377",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762629121",
            "telephone_number": "817-491-4003",
            "fax_number": "817-491-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLS SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "PIPER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "972-227-1222"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470473",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150199",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464771",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINYARD PHARMACY #49",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randolph R West DDS PLLC (West Dental Care)
• Monica L Randolph-Graham, PSYD, LPC-S
• Stephanie Nicole Raymond, R.D.H.
• Rediclinic US, LLC (Rediclinic)
• Alejandra Cristina Rivas, DDS
• Roanoke Dental Group,PC (Roanoke Dental Group and Orthodontics)
• Roanoke Family Eyecare Center, PLLC
• Roanoke Foot & Ankle Institute, PLLC
• Roanoke Vision Associates (Vision Source Trophy Club)
• Cheryl Ann Robinson, RD, LD

• Community/Retail Pharmacy in Roanoke, TX
• Providers in Roanoke, 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 Jul 19, 2016; 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.