Organization Active NPI

Super Docs Inc

  • Community/Retail Pharmacy
  • Hattiesburg, MS
National Provider Identifier
1205910346
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUPER DOCS INC
Practice address
4700 Hardy St
Hattiesburg, MS 39402-1300
Phone
(601) 264-5008
Fax
(601) 264-5040
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Joyce Strom
Title
Retail Support
Phone
(501) 296-3312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2214012 MS
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4700 Hardy St
Hattiesburg, MS 39402-1300

Mailing address

2100 Brookwood Dr
Little Rock, AR 72202-1734

Other identifiers 2

IdentifierTypeStateIssuer
0030323MedicaidMS
2516726OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • SUPER D EXPRESS RX Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205910346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BROOKWOOD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722021734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021300",
            "telephone_number": "601-264-5008",
            "fax_number": "601-264-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER DOCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STROM",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "RETAIL SUPPORT",
        "authorized_official_telephone_number": "501-296-3312"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "2214012",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030323",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2516726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER D EXPRESS RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.