SUPER D DRUGS ACQUISITION CO. (NPI# 1568463107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568463107 |
| Entity Type | Organization |
| Organization Name | SUPER D DRUGS ACQUISITION CO. |
| Other Organization Name | NORRIDS CITY DRUG |
| Practice Address |
906 N Douglass St Malden MO 63863-1514 |
| Mailing Address |
803 Highway 71 N Mena AR 71953-4367 |
| Practice Telephone | 5732762737 |
| Practice Fax Number | 5732762496 |
| Mailing Telephone | 4793946363 |
| Mailing Fax Number | 4793941046 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | MR. GARY BOONE (DIRECTOR HME OPERATIONS) |
| Authorized Official Telephone | 4793946363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PS004290 | MO | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4290 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600096408 | 05 |
| Other Name | Type Code |
|---|---|
| Norrids City Drug | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366774374 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 513 N Grand Ave, Doniphan, MO 63935-1405 | 2010-02-02 |
| 1306929922 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 3012 Highway 80 E, Pearl, MS 39208-3497 | 2006-10-24 |
| 1780767194 | Super D Drugs Acquisition Co. | Pharmacy | 1028 N Washington Ave, Cookeville, TN 38501-1834 | 2006-10-23 |
| 1821002668 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 100 N Grand Ave, Houston, MO 65483-1222 | 2006-07-28 |
| 1609857226 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 212 W Main St, Malden, MO 63863-2114 | 2005-11-10 |
| 1679554299 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 116 S Walnut St, Bernie, MO 63822-9508 | 2005-11-10 |
| 1437288438 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 906 N Douglass St, Malden, MO 63863-1514 | 2007-03-05 |
| 1962549709 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 1465 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2007-01-31 |
| 1700931458 | Super D Drugs Acquisition Co. | Pharmacy | 100 Main St, Gideon, MO 63848 | 2007-01-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SUPER D DRUGS ACQUISITION CO. | 2100 Brookwood Dr., Little Rock, AR 72202 |
| Street Address |
906 N DOUGLASS ST |
| City | MALDEN |
| State | MO |
| Zip Code | 63863-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861512279 | James Dan Mcleod | Pharmacist | 906 N Douglass St, Malden, MO 63863-1514 | 2007-03-30 |
| 1437288438 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 906 N Douglass St, Malden, MO 63863-1514 | 2007-03-05 |
| 1104936871 | Kristen Sitzes | Physical Therapist | 906 N Douglass St, Malden, MO 63863-1514 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396253712 | Sage Creek Home Care LLC | Homemaker | 101 N Madison, Malden, MO 63863 | 2018-01-19 |
| 1790801736 | Tisha S Earnheart | Speech-Language Pathologist | 505 Burkhart, Malden, MO 63863 | 2007-03-21 |
| 1225153026 | Malden R-i School District | Local Education Agency (LEA) | 505 Burkhart Street, Malden, MO 63863 | 2007-03-20 |
| 1245395292 | Ray D Bess | Optometrist | 107 East Main St, Malden, MO 63863 | 2006-12-27 |
| 1346301504 | Dexter Hosptial LLC | Clinic/Center | 1707 N Doulgas, Malden, MO 63863 | 2006-12-12 |
| 1215445630 | Sage Creek LLC | Homemaker | 101 N Madison, Malden, MO 63863 | 2018-01-19 |
| 1730208588 | Cynthia C Hubbard | Speech-Language Pathologist | 505 Burkhart, Malden, MO 63863 | 2007-03-29 |
| 1619095544 | Jeannette G Provance | Speech-Language Pathologist | 505 Burkhart, Malden, MO 63863 | 2007-03-27 |
| 1275717233 | Rita Knight-ritchie Dba Friends In-home Services | Home Health | 3020 Douglas Hwy. 25 North, Malden, MO 63863-0197 | 2007-12-26 |
| 1215003280 | Rita D. Knight-ritchie Dba Friends In-home Services | Home Health | 3020 N. Douglas, Malden, MO 63863-0197 | 2006-11-28 |
| Find all providers in zip 63863 | ||||
| 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 |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1366878837 | Mitchell Drug of Malden LLC | Pharmacy | 1128 N Douglass St, Malden, MO 63863-1342 | 2013-09-17 |
| 1184700098 | The Forty-four Willow Street Corp. | Pharmacy | 44 Willow St, Malden, MA 02148-5832 | 2006-10-31 |
| 1902905367 | Cvs Pharmacy Inc | Pharmacy | 32 Ferry St, Malden, MA 02148-5004 | 2006-09-22 |
| 1154420511 | Cvs Pharmacy Inc | Pharmacy | 1080 Eastern Ave, Malden, MA 02148-6129 | 2006-09-22 |
| 1427060102 | Elmwood Pharmacy | Pharmacy | 299 Pleasant St, Malden, MA 02148-8105 | 2006-08-12 |
| 1972518173 | Walgreen Co | Pharmacy | 185 Centre St, Malden, MA 02148-5522 | 2006-07-29 |
| 1508334376 | Maplewood Wellness Pharmacy Inc | Pharmacy | 904 Salem St, Malden, MA 02148-4438 | 2018-11-09 |
| 1295182301 | Cambridge Public Health Commission | Pharmacy | 195 Canal St, Attn: Outpatient Pharmacy, Malden, MA 02148-6701 | 2016-05-18 |
| 1942540026 | Wilkare Pharmacy LLC | Pharmacy | 214 W Main St, Malden, MO 63863-2114 | 2013-02-26 |
| Find all providers in MALDEN | ||||
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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.