Market Street Pharmacy #927

LBN: United Supermarkets Llc
Market Street Pharmacy #927 is an health care organization with primary practice located at 600 N Guadalupe St , Santa Fe NM 87501-1632. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. United Supermarkets Llc can be contacted via phone (505) 982-4806, or through Purser, Tim via phone (806) 791-7410.

Contact Information

Primary practice address
600 N Guadalupe St Santa Fe NM 87501-1632
Fax: (505) 982-5138
Website:
Authorized official contact:
Name: Purser, Tim CPHT

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00004375 New Mexico

Profile Details

NPI number 1396784773
LBN Legal business name United Supermarkets Llc
DBA Doing business as Market Street Pharmacy #927
Authorized official Purser, Tim CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Nov 15th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396784773 NPPES
Other 2058864 PK
MEDICAID 50888269 PK

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