NPIMap

Organization Active NPI

Superior Pharmacy LLC

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1467653915
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21333 Issued in FL
Legal business name
SUPERIOR PHARMACY LLC
Practice address
3031 W Cypress St
Suite B
Tampa, FL 33609-1647
Phone
(813) 874-2848
Fax
(813) 874-0709
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Ike Okeke, RPH
Title
Owner
Phone
(813) 874-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH21333 FL Primary

Addresses

Primary practice location

3031 W Cypress St
Suite B
Tampa, FL 33609-1647

Mailing address

3031 W Cypress St
Suite B
Tampa, FL 33609-1647
Phone (813) 874-2848

Other identifiers 1

IdentifierTypeStateIssuer
028276601MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Superior Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3031 W Cypress St
Ste B
Tampa, FL 33609
Phone (813) 874-1404

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1467653915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W CYPRESS ST",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091647",
            "telephone_number": "813-874-2848",
            "fax_number": "813-874-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W CYPRESS ST",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091647",
            "telephone_number": "813-874-2848",
            "fax_number": "813-874-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-874-2848",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028276601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.