RLS Supermarkets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29928 Issued in TX

Legal business name

RLS SUPERMARKETS LLC

Practice address

4836 W Park Blvd
Plano, TX 75093-2330

Phone

(972) 964-8287

Fax

(972) 985-7807

NPI assigned

Jul 2, 2006

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) 754-4436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MINYARD PHARMACY #25 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Albertsons LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• RLS Supermarkets LLC

  • Community/Retail Pharmacy
  • Bedford, TX
  • NPI 1053357830
  NPD tax ID
• RLS Supermarkets LLC

  • Community/Retail Pharmacy
  • Rowlett, TX
  • NPI 1871530329
  NPD tax ID

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1922037993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 W PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932330",
            "telephone_number": "972-964-8287",
            "fax_number": "972-985-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 W PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932330",
            "telephone_number": "972-964-8287",
            "fax_number": "972-985-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLS SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "PIPER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "972-754-4436"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150371",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINYARD PHARMACY #25",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverstone Behavioral Health and Wellness
• Hina Rizvi, MD
• Samra Rizvi
• RK Dental Services PLLC
• Rlgdignifiedlivingofplano
• Andrea Stewart Roa, CHES
• Rob Dale Dickerman, DO
• Caleb Joshua Robb
• Janice Robb, OTR
• Lolita Theresa Robbiins, PSY.D.

• Community/Retail Pharmacy in Plano, TX
• Providers in Plano, 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 Jun 18, 2015; 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.