Penny Jo Carter, RP

Primary specialty

PharmacistTaxonomy code 183500000X

License

14210 Issued in NE

Practice address

348 N Central Ave
Superior, NE 68978-1715

Phone

(402) 879-4234

Fax

(402) 879-3131

NPI assigned

Feb 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Superior Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Superior, NE
  • NPI 1811084023
  NPD

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1336732254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 ROAD BC",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689787450",
            "telephone_number": "402-879-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 N CENTRAL AVE",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781715",
            "telephone_number": "402-879-4234",
            "fax_number": "402-879-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PENNY",
        "middle_name": "JO",
        "credential": "RP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "14210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Bushnell
• Hannah Bushnell
• Riley L Butler, PA-C
• Cathy Layne Byers
• Andrew Carter, PHARMD
• Jamie Marie Cassens
• City of Superior
• Makena Cordis
• County of Nuckolls School District No. 11
• Tamera Jo Dahl

• All providers in Superior, NE
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.