Organization Active NPI

Superior Pharmacy LLC

  • Community/Retail Pharmacy
  • Elizabeth, NJ
National Provider Identifier
1154336774
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00656200 Issued in NJ
Legal business name
SUPERIOR PHARMACY LLC
Doing business as
SUPERIOR PHARMACY LLC
Practice address
214 2ND St
Elizabeth, NJ 07206-1901
Phone
(908) 282-6300
Fax
(908) 282-6366
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Patrick Agbazue
Title
Pic
Phone
(908) 220-8866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00656200 NJ Primary

Addresses

Primary practice location

214 2ND St
Elizabeth, NJ 07206-1901

Mailing address

214 Second Street
Elizabeth, NJ 07206
Phone (908) 282-6300

Other identifiers 2

IdentifierTypeStateIssuer
2055765OtherPK
0098311MedicaidNJ

Other names 1

  • SUPERIOR PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

214 2nd St
Elizabeth, NJ 07206
Phone (908) 282-6300

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1154336774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SECOND STREET",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07206",
            "telephone_number": "908-282-6300",
            "fax_number": "908-282-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 2ND ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061901",
            "telephone_number": "908-282-6300",
            "fax_number": "908-282-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "AGBAZUE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "908-220-8866"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00656200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055765",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098311",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERIOR PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.