SUPER D DRUGS ACQUISITION CO (NPI# 1508197047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508197047 |
| Entity Type | Organization |
| Organization Name | SUPER D DRUGS ACQUISITION CO |
| Other Organization Name | OVERTURF PHARMACY DME #8437 |
| Practice Address |
907 West Business Hwy. 60 Dexter MO 63841 |
| Mailing Address |
2100 Brookwood Dr Little Rock AR 72202-1734 |
| Practice Telephone | 5736246968 |
| Practice Fax Number | 5736243635 |
| Mailing Telephone | 4793946363 |
| Mailing Fax Number | 4793941046 |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-12-10 |
| Authorized Official Name | CHAD COOPER (PHARMACY SERVICES COORDINATOR) |
| Authorized Official Telephone | 5012963337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
038398 | MO | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
038398 | MO | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 038398 | MO | Suppliers |
| Other Name | Type Code |
|---|---|
| Overturf Pharmacy DME #8437 | 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 |
| 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 |
| 1104909738 | Super D Drugs Acquisition Co | Pharmacy | 527 W Kearney St, Springfield, MO 65803-2523 | 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 |
907 WEST BUSINESS HWY. 60 |
| City | DEXTER |
| State | MO |
| Zip Code | 63841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558941 | Christa Renee Mcbroom | Pharmacist | 2025 Business Hwy 60w, Dexter, MO 63841 | 2020-11-02 |
| 1306230107 | David Mulcahy | Pharmacist | 904 West Business Hwy 60, Dexter, MO 63841 | 2015-03-19 |
| 1285038935 | Clearwater In-home Care, Inc. | Technician | 1525 Business Highway 60, Suite C, Dexter, MO 63841 | 2014-10-09 |
| 1720404064 | William Simmons | Pharmacist | 904 W Business Highway 60, Dexter, MO 63841 | 2014-03-11 |
| 1134498736 | Susan Caroline Jones | Physical Therapist | 913 West Business Hwy 60, Dexter, MO 63841 | 2011-12-28 |
| 1427350594 | Dexter Hospital LLC | Family Medicine | 2025 W Bus Hwy 60, Dexter, MO 63841 | 2010-11-23 |
| 1992028112 | Hilda Fuwell's Residential Care LLC | Clinic/Center | 900 South One Mile Road, Dexter, MO 63841 | 2010-03-02 |
| 1215262183 | Ozark Wellness & Athletic Club | Physical Therapist | 1521 W Bus. Hwy. 60, Dexter, MO 63841 | 2009-10-12 |
| 1225268618 | Practice Tee, LLC | Family Medicine | 1523 W Business Hwy 60, Dexter, MO 63841 | 2009-07-20 |
| 1477732659 | Gautam Jayaswal | Emergency Medicine | Southeast Health Center of Stoddard County, 1200 N 1 Mile Rd, Dexter, MO 63841 | 2007-10-24 |
| Find all providers in zip 63841 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942696349 | Key Drugs At Dexter LLC | Durable Medical Equipment & Medical Supplies | 1007 W Business Us Highway 60, Dexter, MO 63841-2703 | 2015-04-13 |
| 1467631705 | Frederick Schmid Inc | Durable Medical Equipment & Medical Supplies | 2820 Baker Rd, Dexter, MI 48130-1114 | 2007-11-02 |
| 1376743922 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 8005 Main St Ste 17, Dexter, MI 48130-1027 | 2007-07-23 |
| 1487785358 | Overturf Drug Stores of Dexter, Inc. | Durable Medical Equipment & Medical Supplies | 903 West Business Hwy 60, Dexter, MO 63841 | 2007-03-09 |
| 1477624880 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 188 Spring Street, Dexter, ME 04930-1529 | 2006-11-10 |
| 1366544702 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 904 W Business Us Highway 60, Dexter, MO 63841-2701 | 2006-09-05 |
| 1003897679 | D&s Drug LLC | Durable Medical Equipment & Medical Supplies | 1226 W Bus Highway 60, Dexter, MO 63841-2706 | 2005-11-09 |
| 1114442431 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 188 Spring St, Dexter, ME 04930-1529 | 2017-08-08 |
| 1346783743 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 37 Church St, Dexter, ME 04930-1333 | 2016-12-02 |
| 1588929160 | Sasco Dexter LLC | Durable Medical Equipment & Medical Supplies | 2820 Baker Rd, Dexter, MI 48130-1181 | 2012-07-10 |
| Find all providers in DEXTER | ||||
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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.