Superior LTC RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SUPERIOR LTC RX LLC

Practice address

1212 Bear LN
Monticello, IL 61856-9581

Phone

(217) 762-3950

NPI assigned

Jul 8, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Regan Miller

Title

Pharmacy Manager

Phone

(217) 762-3950

Specialties & licenses 6

Addresses

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

Practitioners 2

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

• Penina Kallus

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1528789930
  NPD
• John Paul Rupkey, R.PH.

  • Pharmacist
  • Monticello, IL
  • NPI 1073636510
  NPD (past)

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1376433565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BEAR LN",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618569581",
            "telephone_number": "217-762-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BEAR LN",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618569581",
            "telephone_number": "217-762-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR LTC RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "217-762-3950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gibson Smith, MS CCC-SLP
• Kelly Lynn Smith, PHARMD
• Steven J Sparenberg, DO
• Kendall Stetzner
• Jennifer Eileen Stine, M.P.A., OTR/L
• Karin Lynn Sykes, OTR/L
• The Health and Wellness Collective, Inc.
• The Residential Developers, Inc.
• Jacqueline Marie Tish
• Town Square Hospice Illinois LLC

• Long Term Care Pharmacy in Monticello, IL
• Providers in Monticello, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.