Super RX Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MG00461 Issued in AR

Legal business name

SUPER RX MEDICAL SUPPLY

Practice address

304 East 8TH Street
Danville, AR 72833-1659

Phone

(479) 495-7700

Fax

(479) 495-2646

NPI assigned

Jul 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arnold A Burk

Title

President

Phone

(479) 495-7700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073546800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1659",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728331659",
            "telephone_number": "479-495-7700",
            "fax_number": "479-495-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 EAST 8TH STREET",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728331659",
            "telephone_number": "479-495-7700",
            "fax_number": "479-495-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER RX MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-495-7700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG00461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "47350",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Stanley, SLP
• Tonya Stanley, RPT
• Zachary David Stanley
• State of Arkansas (Yell County Health Unit Danville)
• Super D Drugs Acquisition Co (Usa Drug Express)
• Amanda J. Swint, LPTA
• Natalie Danielle Tarte
• Thomas John Tinnesz, M.D.
• Tippin Family Medicine Clinic, P. a.
• Philip Brian Tippin, M.D.

• Durable Medical Equipment & Medical Supplies in Danville, AR
• Providers in Danville, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.