Organization Active NPI

Super Drugs RX LLC

Doing business as Super Ema Care Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1427438969
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUPER DRUGS RX LLC
Doing business as
Super Ema Care Pharmacy
Practice address
2941 N 5TH St
Philadelphia, PA 19133-2802
Phone
(215) 278-2797
Fax
(215) 278-2709
NPI assigned
May 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Maunik Bhatt
Title
Memeber
Phone
(201) 270-8459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2941 N 5TH St
Philadelphia, PA 19133-2802

Mailing address

2941 N 5TH St
Philadelphia, PA 19133-2802
Phone (215) 278-2797

Other names 1

  • SUPER EMA CARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230424001153 PA Part B Supplier - Pharmacy 6103281357 Practice locations: Philadelphia, PA
O20230905003387 PA DME Supplier - Pharmacy 6103281357 Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Super Drugs RX LLC2941 N 5TH St, Philadelphia, PA 19133-2802(215) 278-2797 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 28, 2022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1427438969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332802",
            "telephone_number": "215-278-2797",
            "fax_number": "215-278-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332802",
            "telephone_number": "215-278-2797",
            "fax_number": "215-278-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER DRUGS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "MAUNIK",
        "authorized_official_title_or_position": "MEMEBER",
        "authorized_official_telephone_number": "201-270-8459"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER EMA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.