Super Care Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.019585 Issued in IL

Legal business name

SUPER CARE PHARMACY, INC

Practice address

8305 Skokie Blvd.
Skokie, IL 60077-2546

Phone

(847) 983-8856

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jawad Rabi

Title

Owner

Phone

(847) 983-8856

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Michelina Difatta, PHARMD, RPH

  • Pharmacist
  • Maywood, IL
  • NPI 1326626128
  NPD (past)
• Victor E Santizo, RPH

  • Pharmacist
  • Skokie, IL
  • NPI 1447904230
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1376991851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772546",
            "telephone_number": "847-983-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SKOKIE BLVD.",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772546",
            "telephone_number": "847-983-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CARE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "RABI",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-983-8856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.019585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sullivan
• Anna Sumagin
• Summit Support Living LLC
• Janice Fong Sunahara, PHARMD
• Sunshine Medical Supplies LLC
• Prerna Suri, MD
• Susan Millner Therapeutic Services LLC
• Sushil K Sharma MD SC
• Kanyada Suvittayasiri
• Candace Swanson

• Community/Retail Pharmacy in Skokie, IL
• Providers in Skokie, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.