Organization Active NPI

Minyard Food Stores Inc

Doing business as Carnival Pharmacy

  • Community/Retail Pharmacy
  • Plano, TX
National Provider Identifier
1821285644
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25720 Issued in TX
Legal business name
MINYARD FOOD STORES INC
Doing business as
Carnival Pharmacy
Practice address
3320 Avenue K
Plano, TX 75074-2306
Phone
(972) 578-1009
Fax
(972) 578-4894
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Ronald Peters
Title
VP Pharmacy
Phone
(972) 393-8329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25720 TX Primary

Addresses

Primary practice location

3320 Avenue K
Plano, TX 75074-2306

Mailing address

3320 Avenue K
Plano, TX 75074-2306

Other identifiers 1

IdentifierTypeStateIssuer
4545894OtherOTHER ID NUMBER

Other names 1

  • CARNIVAL PHARMACY 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

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1821285644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 AVENUE K",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 AVENUE K",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742306",
            "telephone_number": "972-578-1009",
            "fax_number": "972-578-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINYARD FOOD STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "VP PHARMACY",
        "authorized_official_telephone_number": "972-393-8329"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4545894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARNIVAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.