UNITED SUPERMARKETS, L.L.C.
NPI 1649257551
Pharmacy in Colleyville, TX

NPI Status: Active since December 30, 2005

Contact Information

5605 COLLEYVILLE BLVD
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 577-5030
Fax: (817) 577-5035

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  • Organization
  • Pharmacy
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About UNITED SUPERMARKETS, L.L.C.

This page provides the complete NPI Profile along with additional information for United Supermarkets, L.l.c., a provider established in Colleyville, Texas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1649257551 assigned on December 2005. The practitioner's primary taxonomy code is 333600000X with license number 22751 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Tim Purser Rph (Third Party Administrator)

NPI
1649257551
Provider Name
UNITED SUPERMARKETS, L.L.C.
Entity Type
Organization
Location Address
5605 COLLEYVILLE BLVD COLLEYVILLE, TX 76034
Location Phone
(817) 577-5030
Location Fax
(817) 577-5035
Mailing Address
7830 ORLANDO AVE LUBBOCK, TX 79423
Mailing Phone
(806) 791-0220
Mailing Fax
(817) 577-5035
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2005
Last Update Date
10-17-2007
Code Navigator



United Supermarkets, L.l.c. is a medicare supplier with PTAN 20628581 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Orthoses: Off-The-Shelf or Ostomy Supplies or Urological Supplies or Surgical Dressings.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
22751
License State
TX
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

22751 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIM PURSER RPH

Authorized Official Title
THIRD PARTY ADMINISTRATOR
Authorized Official Phone
(806) 791-0220

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4529799OTHER (01)TXNCPDP
465443MEDICAID (05)TX 
PH0436OTHER (01)TXPROVIDER#
4077810032MEDICARE ID-TYPE UNSPECIFIED (04)TXMEDICARE

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20628581
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649257551
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26894514510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 5 + 1 + 4 + 5 + 1 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1649257551 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295224434 KIMBERLY ANN BRICKEY
Individual
Pharmacist5605 COLLEYVILLE BLVD
COLLEYVILLE, TX 76034
(817) 577-5030
1073651162UNITED SUPERMARKETS LLC
Organization
Pharmacy (Community/Retail Pharmacy)5605 COLLEYVILLE BLVD
COLLEYVILLE, TX 76034
(817) 577-5030
1740833706 EDDIE SMITH
Individual
Pharmacist5605 COLLEYVILLE BLVD
COLLEYVILLE, TX 76034
(817) 577-5030
1619520350 GINNY DANELLE LANDRY RPH
Individual
Pharmacist5605 COLLEYVILLE BLVD
COLLEYVILLE, TX 76034
(817) 577-5030
1558915660MRS. ANGELA RICHARDSON
Individual
Pharmacy Technician5605 COLLEYVILLE BLVD
COLLEYVILLE, TX 76034
(817) 577-5030
1154092989 CHRISTOPHER ERIC SOLOMON PHARMD
Individual
Pharmacist5605 COLLEYVILLE BLVD
COLLEYVILLE, TX 76034
(817) 877-5030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649257551, enumerated in the NPI registry as an "organization" on December 30, 2005

The provider is located at 5605 Colleyville Blvd Colleyville, Tx 76034 and the phone number is (817) 577-5030

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 30, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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