Super Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUPER CARE PHARMACY INC

Practice address

2756 Bailey Ave
Buffalo, NY 14215-3252

Phone

(716) 248-1105

Fax

(716) 248-1592

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Mohamed NourNPI 1700665064

Title

Supervising Pharmacist

Phone

(716) 248-1105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Mohamed A Nour, PHARMD, RPH

  • Pharmacist
  • Buffalo, NY
  • NPI 1700665064
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1306699699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153252",
            "telephone_number": "716-248-1105",
            "fax_number": "716-248-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153252",
            "telephone_number": "716-248-1105",
            "fax_number": "716-248-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "NOUR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "716-248-1105"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sung, M.D. PH.D.
• Annette Yambao Sunga, MD
• Sunnyside Day Hub Inc
• Laurie Ann Sunshine, RN
• Suny Buffalo
• Alicia Ann Supernault-Sarker, MD, MPH, FAAP
• Supplemental Healthcare
• Suprina Mills
• Barbara Ann Surace, PNP
• Pragna Kiran Sai Surapaneni, DPM

• Community/Retail Pharmacy in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.