Organization Active NPI

Superior Pharmacy of Temple Terrace LLC

Doing business as Temple Terrace Pharmacy LTC

  • Long Term Care Pharmacy
  • Temple Terrace, FL
National Provider Identifier
1265198709
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SUPERIOR PHARMACY OF TEMPLE TERRACE LLC
Doing business as
Temple Terrace Pharmacy LTC
Practice address
9780 N 56TH St Ste D
Temple Terrace, FL 33617-5508
Phone
(813) 989-1351
Fax
(813) 988-4795
NPI assigned
Nov 9, 2021
Organization subpart
Yes
Parent organization
SUPERIOR PHARMACY OF TEMPLE TERRACE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Yvonne OkekeNPI 1972444867
Title
Pharmacy Manager
Phone
(813) 989-1351

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

9780 N 56TH St Ste D
Temple Terrace, FL 33617-5508

Mailing address

9780 N 56TH St Ste D
Temple Terrace, FL 33617-5508
Phone (813) 989-1351

Other identifiers 1

IdentifierTypeStateIssuer
021697100MedicaidFL

Other names 1

  • Temple Terrace Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Part of
Superior Pharmacy of Temple Terrace LLC

Locations

9780 N 56th St
Ste D
Temple Terrace, FL 33617
Phone (813) 989-1351

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1265198709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 N 56TH ST STE D",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175508",
            "telephone_number": "813-989-1351",
            "fax_number": "813-988-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 N 56TH ST STE D",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175508",
            "telephone_number": "813-989-1351",
            "fax_number": "813-988-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY OF TEMPLE TERRACE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERIOR PHARMACY OF TEMPLE TERRACE LLC",
        "enumeration_date": "2021-11-09",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "813-989-1351"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021697100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Terrace Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.