UNITED SUPERMARKETS, L.L.C.
Complete NPI Record 1942202239
Pharmacy in Lubbock, TX

Active since June 01, 2005
7830 ORLANDO AVE, LUBBOCK, TX 79423(806) 791-0220(806) 791-7490 Get Directions

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Complete NPI Dataset

This page contains the complete raw NPPES record for United Supermarkets, L.l.c. (NPI 1942202239), a pharmacy organization in Lubbock, TX. All 30 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

Registry File Document Utilities
NPI: 1942202239
Field 1/30
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Field 2/30
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available
Field 3/30
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: UNITED SUPERMARKETS, L.L.C.
Field 4/30
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 7830 ORLANDO AVE
Field 5/30
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: LUBBOCK
Field 6/30
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: TX
Field 7/30
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 794231942
Field 8/30
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US
Field 9/30
The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 8067910220
Field 10/30
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 8067917490
Field 11/30
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 7830 ORLANDO AVE
Field 12/30
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LUBBOCK
Field 13/30
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: TX
Field 14/30
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 794231942
Field 15/30
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
Field 16/30
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8067910220
Field 17/30
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8067917490
Field 18/30
The fax number associated with the location address of the provider being identified.
Authorized Official Last Name: PURSER
Field 21/30
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: TIM
Field 22/30
The first name of the authorized official.
Authorized Official Title or Position: DIRECTOR PHARMACY SERVICES
Field 23/30
The title or position of the authorized official.
Authorized Official Telephone Number: 8067910220
Field 24/30
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 333600000X
Field 25/30
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 4581496
Field 26/30
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 1: TX
Field 27/30
The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 1: Y
Field 28/30
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Organization Subpart: N
Field 29/30
Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Authorized Official Credential Text: RPH
Field 30/30
The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.

Other Provider Identifiers 20

Legacy and payer-issued identifiers reported to the NPPES registry for this provider.

4077810007 Medicare NSC
Identifier 1/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810010 Medicare NSC
Identifier 2/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810014 Medicare NSC
Identifier 3/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810002 Medicare NSC
Identifier 4/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810020 Medicare NSC
Identifier 5/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
PH0341 Medicare PIN
Identifier 6/20
State: TX
Medicare PIN: Used in legacy data fields alongside a healthcare provider's National Provider Identifier (NPI) to designate legacy Medicare provider numbers.
4077810001 Medicare NSC
Identifier 7/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810004 Medicare NSC
Identifier 8/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810006 Medicare NSC
Identifier 9/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810017 Medicare NSC
Identifier 10/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810003 Medicare NSC
Identifier 11/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810005 Medicare NSC
Identifier 12/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810009 Medicare NSC
Identifier 13/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810011 Medicare NSC
Identifier 14/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810012 Medicare NSC
Identifier 15/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810008 Medicare NSC
Identifier 16/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810013 Medicare NSC
Identifier 17/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810016 Medicare NSC
Identifier 18/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810015 Medicare NSC
Identifier 19/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
4077810019 Medicare NSC
Identifier 20/20
State: TX
Medicare NSC: Used in the "Other Provider Identifier" field when listing non-NPI legacy provider numbers associated with a health care practitioner or organization in NPPES.
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