SUPER ROCKWALL DRUGSTORE,LP (NPI# 1467596817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467596817 |
| Entity Type | Organization |
| Organization Name | SUPER ROCKWALL DRUGSTORE,LP |
| Other Organization Name | SUPER DRUG |
| Practice Address |
3021 Ridge Rd Suite 103 Rockwall TX 75032-5806 |
| Practice Telephone | 9727720500 |
| Practice Fax Number | 9727725512 |
| Mailing Telephone | 9727720500 |
| Mailing Fax Number | 9727725512 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | MISS MARITES TALAVERA SERNA (PRESIDENT) |
| Authorized Official Telephone | 9727720500 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
22390 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS PHARMACY LICENSE | 22390 | 01 |
| TX | 145240 | 05 |
| Other Name | Type Code |
|---|---|
| SUPER DRUG | Doing Business As Name - Organization |
| Street Address |
3021 RIDGE RD SUITE 103 |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75032-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154384402 | Cody Lynn Day | Specialist/Technologist, Other | 3021 Ridge Rd, Suite A231, Rockwall, TX 75032-5806 | 2006-04-08 |
| 1164977690 | S Kelly Kay Wynn | Social Worker | 3021 Ridge Rd, Ste A19, Rockwall, TX 75032-5806 | 2016-08-25 |
| 1528432077 | Texas First Assist, LLC. | Specialist/Technologist, Other | 3021 Ridge Rd, Suite A 231, Rockwall, TX 75032-5806 | 2015-11-20 |
| 1902135072 | Surgical Assistance of Texas, LLC. | Physician Assistant | 3021 Ridge Rd, Suite A231, Rockwall, TX 75032-5806 | 2009-12-18 |
| 1891947057 | Surgical Assistance of Greater Dallas, LLC. | Specialist/Technologist, Other | 3021 Ridge Rd, Suite A 231, Rockwall, TX 75032-5806 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1720649338 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
| 1346725579 | Arc 32 Family Dentistry | Dentist | 4 Horizon Court Suite 400, Heath, TX 75032 | 2018-10-03 |
| 1275039257 | Karina Bartz Dds Pllc | Dentist | 110 Smirl Drive, Suite 101, Heath, TX 75032 | 2018-03-30 |
| 1861994337 | Lumin Health Physician Group, Pa | Pain Medicine | 4450 Tubbs Road, Rockwall, TX 75032 | 2018-03-01 |
| 1871002816 | Aurentz Family Dental | Clinic/Center | 3140 Horizon Rd Suite 103, Rockwall, TX 75032 | 2017-09-21 |
| 1902200199 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4282 Ridge Rd, Heath, TX 75032 | 2014-10-16 |
| 1962744714 | Yongrui Luan | Pediatrics | 1005 W Ralph Hall Pkwy Ste 135, Rockwall, TX 75032 | 2013-03-20 |
| 1558608679 | Nikalaus Loyd Laymon | Massage Therapist | 860 Ralph Hall Pkwy, #46, Rockwall, TX 75032 | 2013-01-09 |
| 1932444999 | Chiro One Wellness Center of Rockwall Pllc | Chiropractor | 2881 Market Center Drive, Rockwall, TX 75032 | 2012-12-03 |
| Find all providers in zip 75032 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912494170 | Bsph LLC | Pharmacy | 2602 Ridge Rd Ste 3, Rockwall, TX 75087-5500 | 2018-04-13 |
| 1346551801 | Bz Pharmacy, Inc | Pharmacy | 106 S. Goliad St, Rockwall, TX 75087 | 2010-06-29 |
| 1881798676 | Cvs Pharmacy Inc | Pharmacy | 1220 Horizon Rd, Rockwall, TX 75032-5401 | 2006-09-12 |
| 1205841293 | Walgreen Co | Pharmacy | 2911 Ridge Rd, Rockwall, TX 75032-5804 | 2006-07-29 |
| 1649410200 | Costco Wholesale Corporation | Pharmacy | 1225 State Highway 276, Rockwall, TX 75032-9376 | 2009-02-23 |
| 1508921933 | Cvs Pharmacy Inc | Pharmacy | 2004 N Goliad St, Rockwall, TX 75087-7317 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| 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.