HOOK SUPERX LLC (NPI# 1861875403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861875403 |
| Entity Type | Organization |
| Organization Name | HOOK SUPERX LLC |
| Other Organization Name | CVS PHARMACY # 10676 |
| Practice Address |
121 E Kirkwood Ave Bloomington IN 47408-3331 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollment Woonsocket RI 02895-6146 |
| Practice Telephone | 8123490384 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201312660A | 05 | |
| IN | NCPDP | 1566679 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 10676 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447802251 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 336 S Delaware St, Indianapolis, IN 46204-3701 | 2019-07-11 |
| 1578053799 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 720 Northwestern Ave, West Lafayette, IN 47906-2652 | 2018-05-14 |
| 1851805774 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1447 South Waterleaf Dr, Westfield, IN 46074 | 2017-11-30 |
| 1720447931 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1404 Blackiston Mill Rd, Clarksville, IN 47129-2288 | 2016-02-16 |
| 1952798993 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 225 Joliet St., Dyer, IN 46311-1709 | 2015-04-16 |
| 1447659859 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1950 State St, New Albany, IN 47150 | 2014-08-21 |
| 1043658701 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 4225 Hobson Rd, Fort Wayne, IN 46815-4506 | 2013-06-04 |
| 1780747154 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 802 N Meridian St, Portland, IN 47371-1127 | 2006-12-18 |
| 1871652925 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 928 Us 27 N, Berne, IN 46711 | 2006-12-06 |
| 1841373347 | Hook Superx LLC | Pharmacy | 14835 Sunny Dell Lane1, Noblesville, IN 46060 | 2006-10-20 |
| Street Address |
121 E KIRKWOOD AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47408-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
| 1265915904 | Meghan Elizabeth Kinkead | Specialist/Technologist | Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 | 2018-09-10 |
| 1316499395 | Marabai Rose Counseling, LLC | Social Worker | 4568 East State Rd 45, Bloomington, IN 47408 | 2016-10-26 |
| 1295133908 | Eden Embree | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 | 2014-12-11 |
| 1588995229 | Create-a-smile PC | Dentist | 219 E. 17th St., Bloomington, IN 47408 | 2010-01-20 |
| 1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
| 1770709917 | Robin A. Roberts | Dentist | 104 E. 19th Street, Bloomington, IN 47408 | 2007-04-17 |
| 1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
| 1114013752 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2727 N Dunn, Bloomington, IN 47408 | 2006-10-04 |
| 1003850322 | Priti V Jindal | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408 | 2006-06-16 |
| Find all providers in zip 47408 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
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| 1982945556 | Axlines Inc | Pharmacy | 1210 Towanda Ave Ste 11, Bloomington, IL 61701-7415 | 2013-03-07 |
| 1649328907 | Rbf LLC | Pharmacy | 2600 W 80th St, Bloomington, MN 55431-1201 | 2007-01-05 |
| 1750454062 | Kroger Limited Partnership I | Pharmacy | 500 S Liberty Dr, Bloomington, IN 47403-1924 | 2006-11-16 |
| 1013080324 | Kroger Limited Partnership I | Pharmacy | 4025 S Old State Road 37, Bloomington, IN 47401-7482 | 2006-11-16 |
| 1316031719 | Snyders Drug | Pharmacy | 5135 W 98th St, Bloomington, MN 55437-2040 | 2006-10-03 |
| 1225122625 | Snyders Drug Stores Inc | Pharmacy | 8925 Penn Ave S, Bloomington, MN 55431-2024 | 2006-10-03 |
| 1700970050 | Snyders Drug | Pharmacy | 10615 France Ave. S, Bloomington, MN 55431 | 2006-10-03 |
| 1477668515 | Supervalu Pharmacies Inc | Pharmacy | 8421 Lyndale Ave S, Bloomington, MN 55420-4580 | 2006-08-20 |
| 1033124946 | Marsh Drugs LLC | Pharmacy | 3600 W 3rd St, Bloomington, IN 47404-4860 | 2006-07-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47408 |
Please comment or provide details below to improve the information on HOOK SUPERX LLC.
| 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.