Super Discount Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

417 Issued in TN

Legal business name

SUPER DISCOUNT DRUGS LLC

Doing business as

SUPER DISCOUNT DRUGS

Practice address

718 W Main St
Livingston, TN 38570-1720

Phone

(931) 823-1245

Fax

(931) 823-1324

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Larry Worley, DPH

Title

Pharmacist

Phone

(931) 823-1245

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUPER DISCOUNT DRUGS 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.

• Gary W Worley

  • Pharmacist
  • Livingston, TN
  • NPI 1023159134
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1215930979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W MAIN ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701720",
            "telephone_number": "931-823-1245",
            "fax_number": "931-823-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W MAIN ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701720",
            "telephone_number": "931-823-1245",
            "fax_number": "931-823-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER DISCOUNT DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "931-823-1245",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089265",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450506",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER DISCOUNT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott E Smith, CRNA
• Dipesh Soma
• Jessica Spivey, MS, OTR/L
• State of Tennessee
• Michael Stephan Stovall, CRNA
• William K Sutton, M.D.
• Katie Sweet
• Susan Renee' Taylor-Kinsey, LPN
• Monica Taylor
• Terri L Hoag

• Community/Retail Pharmacy in Livingston, TN
• Providers in Livingston, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.