SUPER D DRUGS ACQUISITION CO. (NPI# 1609857226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609857226 |
| Entity Type | Organization |
| Organization Name | SUPER D DRUGS ACQUISITION CO. |
| Practice Address |
212 W Main St Malden MO 63863-2114 |
| Mailing Address |
803 Highway 71 N Mena AR 71953-4367 |
| Practice Telephone | 5732762218 |
| Practice Fax Number | 5732764785 |
| Mailing Telephone | 4793946363 |
| Mailing Fax Number | 4793941046 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2010-02-26 |
| Authorized Official Name | GARY BOONE (DIRECTOR HME OPERATIONS) |
| Authorized Official Telephone | 4793946363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 620202408 | 05 |
| 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 |
| 1679554299 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 116 S Walnut St, Bernie, MO 63822-9508 | 2005-11-10 |
| 1568463107 | Super D Drugs Acquisition Co. | Pharmacy | 906 N Douglass St, Malden, MO 63863-1514 | 2005-08-04 |
| 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 |
212 W MAIN ST |
| City | MALDEN |
| State | MO |
| Zip Code | 63863-2114 |
| 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 | 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 |
|---|---|---|---|---|
| 1700308814 | Parisian Style Beauty Supplies & Braids, LLC | Durable Medical Equipment & Medical Supplies | 657 Eastern Ave, Malden, MA 02148-5909 | 2017-07-10 |
| 1861650962 | Solup Shoe Inc | Durable Medical Equipment & Medical Supplies | 130 Pleasant Street, Malden, ME 02148 | 2008-05-27 |
| 1174530158 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 215 Beach St, Malden, MA 02148-6223 | 2006-08-02 |
| 1972520294 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1007 N Douglass St, Malden, MO 63863-1515 | 2006-07-16 |
| 1952847246 | Wilkare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 214 W Main St, Malden, MO 63863-2114 | 2017-01-11 |
| 1164736146 | De-light Medicals Inc | Durable Medical Equipment & Medical Supplies | 41 Lebanon St, Malden, MA 02148-3114 | 2010-08-02 |
| 1861625659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 575 Broadway, Malden, MA 02148-2039 | 2009-08-27 |
| 1457528234 | Primedic,llc | Durable Medical Equipment & Medical Supplies | 380 Pleasant St, Suite Ll2a, Malden, MA 02148-8123 | 2008-05-12 |
| 1962529685 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 310 W Main St, Malden, MO 63863-2116 | 2007-03-26 |
| 1194843458 | Lee Optical | Durable Medical Equipment & Medical Supplies | 103 Pleasant St, Malden, MA 02148-4907 | 2007-03-26 |
| 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.