Organization Active NPI

Texas Superior Care RX, LLC

Doing business as McCamey Pharmacy

  • Community/Retail Pharmacy
  • McCamey, TX
National Provider Identifier
1033619416
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31658 Issued in TX
Legal business name
TEXAS SUPERIOR CARE RX, LLC
Doing business as
McCamey Pharmacy
Practice address
111 East 5TH Street
McCamey, TX 79752
Phone
(432) 652-4220
Fax
(432) 652-4224
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Olanrewaju Samuel Ayileka
Title
Managing Officer
Phone
(432) 652-4220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 31658 TX Primary

Addresses

Primary practice location

111 East 5TH Street
McCamey, TX 79752

Mailing address

PO Box 188
MC Camey, TX 79752-0188
Phone (432) 652-4220

Other identifiers 1

IdentifierTypeStateIssuer
2175455OtherPK

Other names 1

  • McCamey Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215002332 TX Part B Supplier - Mass Immunization (Roster Biller Only) 7810262631 Practice locations: MC Camey, TX

National Provider Directory

National Provider Directory

Locations

111 E 5th St
McCamey, TX 79752
Phone (432) 652-4220

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1033619416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MC CAMEY",
            "state": "TX",
            "postal_code": "797520188",
            "telephone_number": "432-652-4220",
            "fax_number": "432-652-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST 5TH STREET",
            "city": "MCCAMEY",
            "state": "TX",
            "postal_code": "79752",
            "telephone_number": "432-652-4220",
            "fax_number": "432-652-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SUPERIOR CARE RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "AYILEKA",
        "authorized_official_first_name": "OLANREWAJU",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "432-652-4220"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCamey Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McCamey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.