Active NPI
United Supermarkets, L.L.C.
- Pharmacy
- Lubbock, TX
National Provider Identifier
1942202239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 4581496
- Legal business name
- UNITED SUPERMARKETS, L.L.C.
- Practice address
- 7830 Orlando Ave
Lubbock, TX 79423-1942 - Phone
- (806) 791-0220
- Fax
- (806) 791-7490
- NPI assigned
- Jun 1, 2005
- Last updated
- Jul 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Purser, RPH
- Title
- Director Pharmacy Services
- Phone
- (806) 791-0220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 4581496 | TX | Primary |
Addresses
Primary practice location
7830 Orlando Ave
Lubbock, TX 79423-1942
Mailing address
7830 Orlando Ave
Lubbock, TX 79423-1942
Phone (806) 791-0220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101124000158 | TX | Part B Supplier - Centralized Flu Biller | 0143126524 |
This NPI is an additional NPI on the enrollment Practice locations: Boise, ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277942400000",
"number": "1942202239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7830 ORLANDO AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231942",
"telephone_number": "806-791-0220",
"fax_number": "806-791-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7830 ORLANDO AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231942",
"telephone_number": "806-791-0220",
"fax_number": "806-791-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED SUPERMARKETS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2010-07-01",
"status": "A",
"authorized_official_last_name": "PURSER",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "DIRECTOR PHARMACY SERVICES",
"authorized_official_telephone_number": "806-791-0220",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "4581496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- United Supermarkets LLC (United Pharmacy #3552)
- United Supermarkets LLC (United Pharmacy #3537)
- United Supermarkets LLC (United Pharmacy #3506)
- United Supermarkets LLC (Market Street Pharmacy #2802)
- United Supermarkets LLC (United Pharmacy #0657)
- Universal Medical Equipment Inc (Precision Repair Network)
- University Medical Center
- Kaye Lynn Unrein, FNP-C
- Untedward, LLC (Forever Faithful Home Care)
- Shreya Uppala, MD, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.