NPIMap

Organization Active NPI

Minyard Food Stores Inc.

Doing business as Carnvial Pharmacy #125

  • Community/Retail Pharmacy
  • Irving, TX
National Provider Identifier
1558449512
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10942 Issued in TX
Legal business name
MINYARD FOOD STORES INC.
Doing business as
Carnvial Pharmacy #125
Practice address
1706 W Irving Blvd
Irving, TX 75061-7137
Phone
(972) 254-4179
Fax
(972) 259-3904
NPI assigned
Nov 1, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 10942 TX Primary

Addresses

Primary practice location

1706 W Irving Blvd
Irving, TX 75061-7137

Mailing address

1706 W Irving Blvd
Irving, TX 75061-7137
Phone (972) 254-4179

Other identifiers 2

IdentifierTypeStateIssuer
142845MedicaidTX
4570722OtherTXNABP ID#

Other names 1

  • Carnvial Pharmacy #125 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

1706 W Irving Blvd
Irving, TX 75061
Phone (972) 254-1474

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": "1195171200000",
    "number": "1558449512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617137",
            "telephone_number": "972-254-4179",
            "fax_number": "972-259-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617137",
            "telephone_number": "972-254-4179",
            "fax_number": "972-259-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINYARD FOOD STORES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-16",
        "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": "10942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142845",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP ID#",
            "identifier": "4570722",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carnvial Pharmacy #125",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.