Super Drug & Herbal Store, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUPER DRUG & HERBAL STORE, INC

Doing business as

Lennys Richfield Family Pharmacy

Practice address

508 N Main St
Richfield, UT 84701-1864

Phone

(435) 896-6000

Fax

(435) 896-1975

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Leonard FitzgeraldNPI 1932118981

Title

Owner/President

Phone

(435) 896-6000

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Lennys Richfield Family Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard Fitzgerald, RPH

  • Pharmacist
  • Gunnison, UT
  • NPI 1932118981
  NPD Authorized official

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1053689158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011864",
            "telephone_number": "435-896-6000",
            "fax_number": "435-896-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011864",
            "telephone_number": "435-896-6000",
            "fax_number": "435-896-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER DRUG & HERBAL STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "435-896-6000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "10579480-1703",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053689158",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lennys Richfield Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lennys Richfield Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Russell Douglas Sorenson, PHD
• Jesse Neil Spencer, M.D.
• Stepping Stones Family Counseling
• Tara Sterling
• Edgar Alan Stewart, D.D.S.
• Thomas J. Tavenner, CRNA
• Angela Pearl Taylor
• Aubrey Taylor
• Lisa Taylor, MS
• Makinley Taylor

• Community/Retail Pharmacy in Richfield, UT
• Providers in Richfield, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.