Superior Care Pharmacy Inc

Organization Active NPI Community/Retail Pharmacy · Olyphant, PA

NPI 1124130133 · NPPES record last updated Mar 10, 2025

Key facts

NPI
1124130133
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
SUPERIOR CARE PHARMACY INC
Practice address
518 Burke Byp
Olyphant, PA 18447-1805
Phone
(570) 383-6700
Fax
(570) 383-9700
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

Name
Eric Michael Pusey NPI 1710640867
Title
President
Phone
(570) 383-6700

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2232429Better Health Pharmacy & Wellness
518 Burke Bypass, Olyphant, PA 18447
Certificate of waiverSep 16, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050303000698 PA Part B Supplier - Mass Immunization (Roster Biller Only) 1557315496 Practice locations: Olyphant, PA
O20100930093414 PA DME Supplier - Pharmacy 1557315496 Practice locations: Olyphant, PA

National Provider Directory

Locations

514 Burke Byp
#8383
Olyphant, PA 18447
Phone (570) 383-6700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

518 Burke Byp
Olyphant, PA 18447-1805

Mailing address

518 Burke Byp
Olyphant, PA 18447-1805
Phone (570) 383-6700

Other identifiers

IdentifierTypeStateIssuer
1011414540001MedicaidPA
3983574OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names

  • Better Health Pharmacy & Wellness Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2025.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1124130133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 BURKE BYP",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471805",
            "telephone_number": "570-383-6700",
            "fax_number": "570-383-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 BURKE BYP",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471805",
            "telephone_number": "570-383-6700",
            "fax_number": "570-383-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "PUSEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-383-6700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011414540001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3983574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Health Pharmacy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olyphant, PA

All providers in Olyphant, PA · Community/Retail Pharmacy in Pennsylvania

Sources for this page

Verify at the official NPI Registry.