Active NPI
Super Saver Pharmacy 4 LLC
- Community/Retail Pharmacy
- Oviedo, FL
National Provider Identifier
1376846394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25118
- Legal business name
- SUPER SAVER PHARMACY 4 LLC
- Practice address
- 1977 Alafaya TRL Ste 1121
Oviedo, FL 32765-4522 - Phone
- (407) 593-2844
- Fax
- (888) 843-3886
- NPI assigned
- Dec 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosemary Dawoud
- Title
- Owner
- Phone
- (508) 517-8460
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH25118 | FL | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
1977 Alafaya TRL Ste 1121
Oviedo, FL 32765-4522
Mailing address
520 13TH St
Saint Cloud, FL 34769-4531
Phone (407) 593-2844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019007700 | Medicaid | FL | |
| 2127935 | Other | PK |
Other names 1
- Aventus Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Oviedo, FL
- NPI 1841816394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1376846394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 13TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347694531",
"telephone_number": "407-593-2844",
"fax_number": "407-593-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1977 ALAFAYA TRL STE 1121",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327654522",
"telephone_number": "407-593-2844",
"fax_number": "888-843-3886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPER SAVER PHARMACY 4 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-14",
"last_updated": "2025-09-19",
"certification_date": "2021-01-25",
"status": "A",
"authorized_official_last_name": "DAWOUD",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-517-8460"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH25118",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019007700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2127935",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aventus Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.