HOOK-SUPERX LLC (NPI# 1407878135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407878135 |
| Entity Type | Organization |
| Organization Name | HOOK-SUPERX LLC |
| Other Organization Name | CVS PHARMACY #17139 |
| Practice Address |
9885 Wicker Ave Saint John IN 46373-9413 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 2193658609 |
| Practice Fax Number | 2193658609 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200541230A | 05 | |
| PK | 2025339 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17139 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629410451 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 367 W 116th St, Carmel, IN 46032-3287 | 2013-07-22 |
| 1912349887 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 6010 S Emerson Ave, Indianapolis, IN 46237-2901 | 2013-07-22 |
| 1295005882 | Hook-superx LLC | Pharmacy | 1600 E 151st St, Carmel, IN 46032-5056 | 2012-01-12 |
| 1780832337 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 1102 S Thomas Rd, Fort Wayne, IN 46804-1144 | 2008-09-08 |
| 1790942936 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 100 E State Road 231, Crown Point, IN 46307-9789 | 2008-05-16 |
| 1245330554 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 3801 Coldwater Rd, Fort Wayne, IN 46805-1101 | 2006-09-25 |
| 1942303664 | Hook-superx LLC | Pharmacy | 668 S Us Highway 231, Bloomfield, IN 47424-7114 | 2006-09-07 |
| 1376566653 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 2661 E Us Highway 30, Merrillville, IN 46410-5898 | 2006-07-26 |
| 1144243445 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 10209 E Us Highway 36, Avon, IN 46123-7985 | 2006-07-26 |
| 1881616506 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 4000 1st Ave, Evansville, IN 47710-3614 | 2006-07-24 |
| Street Address |
9885 WICKER AVE |
| City | SAINT JOHN |
| State | IN |
| Zip Code | 46373-9413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407298219 | Stephanie Ann Baer | Pharmacist | 9885 Wicker Ave, T-2095, Saint John, IN 46373-9413 | 2013-07-22 |
| 1922393701 | Rebecca C Hopkins | Pharmacist | 9885 Wicker Ave, Saint John, IN 46373-9413 | 2011-06-09 |
| 1134413073 | Linda Widstrand | Pharmacist | 9885 Wicker Ave, Saint John, IN 46373-9413 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902975634 | Pharmadream Inc | Pharmacy | 10 E Front St, Saint John, WA 99171-8775 | 2006-11-07 |
| 1841221900 | K Mart Corp | Pharmacy | 9550 Wicker Ave, Saint John, IN 46373-9488 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161909 | Damien Cares Inc. | Pharmacy | 26 N Arsenal Ave Ste B, Indianapolis, IN 46201-3808 | 2020-07-21 |
| 1518507755 | Genoa Healthcare, LLC | Pharmacy | 2007 State St Ste 110, Washington, IN 47501-8505 | 2020-01-15 |
| 1053951210 | Pharmacy Corporation of America | Pharmacy | 6032 Highview Dr Ste C, Fort Wayne, IN 46818-1390 | 2020-01-15 |
| 1629635479 | Medscript Compounding LLC | Pharmacy | 14450 Getz Rd Ste 200, Noblesville, IN 46060-3303 | 2019-05-28 |
| 1346807138 | Genoa Healthcare, LLC | Pharmacy | 3176 Lancer St Ste 102, Portage, IN 46368-4408 | 2019-05-28 |
| 1710444740 | Highcare Pharmacy Inc | Pharmacy | 9030 Cline Ave Ste B, Highland, IN 46322-2204 | 2019-02-26 |
| 1346711611 | Rx for Less Pharmacy | Pharmacy | 10930 Pendleton Pike Ste 102, Indianapolis, IN 46236-3177 | 2018-12-16 |
| 1982197463 | 360 Pharmacy Care LLC | Pharmacy | 2441 Production Dr Ste 101, Indianapolis, IN 46241-4929 | 2018-06-11 |
| 1649784174 | Kroger Limited Partnership I | Pharmacy | 5 Boone Vlg, Zionsville, IN 46077-1231 | 2017-11-20 |
| 1770095333 | Pharmscript of In LLC | Pharmacy | 6825 Hillsdale Ct, Building No 3, Indianapolis, IN 46250-2039 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHN |
| Zip Code | 46373 |
Please comment or provide details below to improve the information on HOOK-SUPERX LLC.
| 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.