SUPER D DRUGS ACQUISITION, CO. (NPI# 1851474266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851474266 |
| Entity Type | Organization |
| Organization Name | SUPER D DRUGS ACQUISITION, CO. |
| Other Organization Name | IKE'S #2 |
| Practice Address |
4126 Elvis Presley Blvd Memphis TN 38116-5857 |
| Mailing Address |
803 Highway 71 N Mena AR 71953-4367 |
| Practice Telephone | 9013984115 |
| Practice Fax Number | 9013984153 |
| Mailing Telephone | 4793946363 |
| Mailing Fax Number | 4793941046 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2009-07-07 |
| Authorized Official Name | MR. GARY M. BOONE (DIRECTOR OF HME OPERATIONS) |
| Authorized Official Telephone | 4793946363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | DPO0000000643 | TN | Suppliers |
| N | 333600000X | Pharmacy | 1775 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1775 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE FLU | 391412 | 01 |
| TN | 9449379 | 05 | |
| TN | MEDICAID DME | 1452336 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4423480 | 01 |
| Other Name | Type Code |
|---|---|
| IKE'S #2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679656086 | Super D Drugs Acquisition, Co. | Eyewear Supplier (Equipment, not the service) | 5040 Park Ave, Memphis, TN 38117-5709 | 2006-10-23 |
| 1225111636 | Super D Drugs Acquisition, Co. | Eyewear Supplier (Equipment, not the service) | 2145 Union Ave, Memphis, TN 38104-4206 | 2006-10-23 |
| Street Address |
4126 ELVIS PRESLEY BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-5857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| 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 |
|---|---|---|---|---|
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1740831072 | Avita Drugs Tennessee, LLC | Pharmacy | 806 S Cooper St Ste A, Memphis, TN 38104-5406 | 2019-09-27 |
| 1619536570 | A Transition To Independence | Pharmacy | 2778 Treasure Island Dr E, Memphis, TN 38115-1707 | 2019-06-13 |
| 1992248702 | Anovorx Group LLC | Pharmacy | 1710 Shelby Oaks Dr N Ste 5, Memphis, TN 38134-7403 | 2016-11-28 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1710372214 | Getwell Pharmacy LLC | Pharmacy | 3960 Knight Arnold Rd Ste 112, Memphis, TN 38118-3001 | 2015-04-01 |
| 1518397199 | Freds Stores of Tennessee Inc | Pharmacy | 1290 Lamar Ave, Memphis, TN 38104 | 2013-11-19 |
| 1073946091 | Quality Rx Compounding LLC | Pharmacy | 920 Estate Dr Ste 8, Memphis, TN 38119-3608 | 2013-08-13 |
| 1417209016 | Freds Stores of Tennessee Inc | Pharmacy | 7965 E Shelby Dr, Memphis, TN 38125-3755 | 2012-10-05 |
| Find all providers in MEMPHIS | ||||
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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.