SUPER D DRUGS ACQUISITION CO. (NPI# 1821002668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821002668 |
| Entity Type | Organization |
| Organization Name | SUPER D DRUGS ACQUISITION CO. |
| Other Organization Name | FORBES REXALL DRUGS |
| Practice Address |
100 N Grand Ave Houston MO 65483-1222 |
| Mailing Address |
803 Highway 71 N Mena AR 71953-4367 |
| Practice Telephone | 4179673315 |
| Practice Fax Number | 4179678205 |
| Mailing Telephone | 4793946363 |
| Mailing Fax Number | 4793941046 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | MR. GARY BOONE (DIRECTOR OF 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 | 620662205 | 05 |
| Other Name | Type Code |
|---|---|
| FORBES REXALL DRUGS | 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 |
| 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 |
| 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 |
100 N GRAND AVE |
| City | HOUSTON |
| State | MO |
| Zip Code | 65483-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470386 | Sharon Kathy Lunz | Pharmacist | 100 N Grand Ave, Houston, MO 65483-1222 | 2020-08-31 |
| 1003429580 | Amanda L Cook | Pharmacist | 100 N Grand Ave, Houston, MO 65483-1222 | 2020-08-25 |
| 1225174071 | Walgreen Co | Pharmacy | 100 N Grand Ave, Houston, MO 65483-1222 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1942657606 | Community Counseling Services of Missouri, L.L.C. | Counselor | 1591 C North Highway 63, Houston, MO 65483 | 2016-05-23 |
| 1083081681 | Vicky Birdsong | Registered Nurse | 1597 North Hwy 63, Houston, MO 65483 | 2015-08-31 |
| 1578794525 | Mary Jane Lybyer | Speech-Language Pathologist | 423 W. Pine, Houston, MO 65483 | 2009-08-06 |
| 1851530257 | Womack Chiropractic Center, PC | Chiropractor | 118 W. Main St., Houston, MO 65483 | 2009-02-10 |
| 1588793459 | Houston R-1 School District | Local Education Agency (LEA) | 204 W. Spruce, Houston, MO 65483 | 2007-03-05 |
| 1487783296 | Mercy Clinic-springfield Communities | Family Medicine | 1422 S Sam Houston Blvd, Houston, MO 65483 | 2007-03-05 |
| 1164587770 | Texas County Memorial Hospital | Pharmacy | 1422 S Sam Houston Blvd Ste 100, Houston, MO 65483 | 2006-12-26 |
| 1336226513 | Deborah Belt-kell | Counselor | Tcmh Annex - Mental Health, 1333 S Sam Houston Blvd, Houston, MO 65483 | 2006-11-01 |
| 1164483921 | Christopher O Baldwin | Obstetrics & Gynecology | 1337 S Sam Houston Blvd, Houston, MO 65483 | 2006-03-31 |
| Find all providers in zip 65483 | ||||
| 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. |
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| 1083225528 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 110 E. Richey Rd, Houston, TX 77090-5802 | 2020-08-10 |
| 1689283145 | Iv & Home Health Services of Texas | Durable Medical Equipment & Medical Supplies | 7545 Cherry Park Dr, Houston, TX 77095-2722 | 2020-07-30 |
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1609485697 | Houston Care Medical Supplies | Durable Medical Equipment & Medical Supplies | 440 Benmar Dr Ste 1022e, Houston, TX 77060-3271 | 2020-07-27 |
| 1750999306 | King Ross Medical Supply | Durable Medical Equipment & Medical Supplies | 5200 Mitchelldale St Ste F21, Houston, TX 77092-7221 | 2020-07-20 |
| 1346866738 | Tek Med 1 LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160a, Houston, TX 77029-1299 | 2020-06-22 |
| 1225654619 | Tek Med II, LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160b, Houston, TX 77029-1299 | 2020-06-22 |
| 1215553615 | Tek Med IIi, LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160c, Houston, TX 77029-1299 | 2020-06-22 |
| 1033732524 | Nextstage Medical, LLC | Durable Medical Equipment & Medical Supplies | 510 Bering Dr Ste 650, Houston, TX 77057-1451 | 2020-05-19 |
| Find all providers in HOUSTON | ||||
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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.