SUPER D DRUGS ACQUISITION CO (NPI# 1104909738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104909738 |
| Entity Type | Organization |
| Organization Name | SUPER D DRUGS ACQUISITION CO |
| Other Organization Name | SUPER D EXPRESS RX |
| Practice Address |
527 W Kearney St Springfield MO 65803-2523 |
| Mailing Address |
2100 Brookwood Dr Little Rock AR 72202-1734 |
| Practice Telephone | 4178655523 |
| Practice Fax Number | 4178654459 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOYCE STROM (RETAIL SUPPORT) |
| Authorized Official Telephone | 5012963312 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 6315 | MO | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2615269 | 01 |
| Other Name | Type Code |
|---|---|
| SUPER D EXPRESS RX | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992042964 | Super D Drugs Acquisition Co | Pharmacy | 3022 N Midland Dr, Pine Bluff, AR 71603-4829 | 2013-01-11 |
| 1508197047 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 907 West Business Hwy. 60, Dexter, MO 63841 | 2010-01-22 |
| 1558440891 | Super D Drugs Acquisition Co | Pharmacy | 300 East 8th Street, Danville, AR 72833 | 2006-11-06 |
| 1417030032 | Super D Drugs Acquisition Co | Pharmacy | 516 Nakoma Dr, Jackson, MS 39206-3332 | 2006-10-24 |
| 1295818821 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 201 S 28th Avenue, Hattiesburg, MS 39401 | 2006-10-24 |
| 1013090646 | Super D Drugs Acquisition Co | Pharmacy | 2565 E Sunshine St, Springfield, MO 65804-1824 | 2006-10-24 |
| 1154404564 | Super D Drugs Acquisition Co | Pharmacy | 2055 Raymond Rd, Jackson, MS 39204-4131 | 2006-10-23 |
| 1417030826 | Super D Drugs Acquisition Co | Pharmacy | 225 E Pacific St, Springfield, MO 65803-2832 | 2006-10-23 |
| 1245313659 | Super D Drugs Acquisition Co | Pharmacy | 6396 Highway 51 N, Horn Lake, MS 38637-2411 | 2006-10-23 |
| 1235212648 | Super D Drugs Acquisition Co | Pharmacy | 3050 S National Ave Ste 109, Springfield, MO 65804-4242 | 2006-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SUPER D DRUGS ACQUISITION CO. | 2100 Brookwood Dr., Little Rock, AR 72202 |
| Street Address |
527 W KEARNEY ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022962 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 527 W Kearney St, Springfield, MO 65803-2523 | 2018-08-14 |
| 1750579710 | Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 527 W Kearney St, Springfield, MO 65803-2523 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1386036713 | Quality Zone Pharmacy Corp | Pharmacy | 355 Belmont Ave, Springfield, MA 01108-2000 | 2015-02-23 |
| 1558606327 | Niemann Foods Inc | Pharmacy | 210 E Carpenter St, Springfield, IL 62702-5128 | 2012-12-05 |
| 1982957403 | Independence Holding Co LLC | Pharmacy | 201 N 5th St, Springfield, IL 62701-1001 | 2012-10-22 |
| 1235426057 | Holistic Pharmacy Services Inc | Pharmacy | 133 E North Grand Ave, Springfield, IL 62702-3859 | 2011-06-30 |
| 1295044840 | Smith & Peck Pharmacy Management Services Inc | Pharmacy | 242 River St, Springfield, VT 05156-2306 | 2010-09-30 |
| 1790006724 | Hometown Pharmacy LLC | Pharmacy | 27118 Highway 42, Springfield, LA 70462-7979 | 2010-06-14 |
| 1861638314 | Jmc Pharmacies, LLC. | Pharmacy | 2103 E Rockhurst St Ste 108, Springfield, MO 65802-6501 | 2009-01-05 |
| 1649331042 | Cr Springfield, LLC | Pharmacy | 1050 Upper Valley Pike, Springfield, OH 45504-4016 | 2006-12-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
Please comment or provide details below to improve the information on SUPER D DRUGS ACQUISITION CO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.