NPIMap

Organization Active NPI

Super D Drugs Acquisition Co

  • Long Term Care Pharmacy
  • Springfield, MO
National Provider Identifier
1013090646
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SUPER D DRUGS ACQUISITION CO
Practice address
2565 E Sunshine St
Springfield, MO 65804-1824
Phone
(417) 883-5777
Fax
(417) 887-9136
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joyce Strom
Title
Retail Support
Phone
(501) 296-3312

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 6316 MO
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2565 E Sunshine St
Springfield, MO 65804-1824

Mailing address

2100 Brookwood Dr
Little Rock, AR 72202-1734

Other identifiers 1

IdentifierTypeStateIssuer
2616540OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • SUPER D EXPRESS RX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Super D Drugs Acquisition Co25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

2565 E Sunshine St
Springfield, MO 65804
Phone (417) 883-5777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013090646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BROOKWOOD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722021734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041824",
            "telephone_number": "417-883-5777",
            "fax_number": "417-887-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER D DRUGS ACQUISITION CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STROM",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "RETAIL SUPPORT",
        "authorized_official_telephone_number": "501-296-3312"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "6316",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2616540",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER D EXPRESS RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.