Super Care Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY 37871 Issued in CA

Legal business name

SUPER CARE INC

Doing business as

Super Care Pharmacy

Practice address

2017 1 2 S. Hacienda Blvd
Hacienda Heights, CA 91745

Phone

(626) 330-3448

Fax

(626) 333-1251

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

John L Cassar

Title

Ceo

Phone

(800) 206-4880

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Super Care Pharmacy Doing business as

Locations

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.

• Gabriel Cassar, PHARM.D

  • Pharmacist
  • Hacienda Heights, CA
  • NPI 1104968387
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1205978574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 FIRESTONE BLVD STE 210",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413871",
            "telephone_number": "888-260-2550",
            "fax_number": "626-333-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 1 2 S. HACIENDA BLVD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "91745",
            "telephone_number": "626-330-3448",
            "fax_number": "626-333-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-206-4880"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 37871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY 37871",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0524757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Super Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hsiu-Hung Su, FNP-C
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• Ryan Supangan
• Kristen K Tachiki, LCSW
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• Kevin Takami
• Ty Kenji Takitani, D.C.

• Pharmacy in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Pharmacy in California

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