SVP Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

16368 Issued in TX

Legal business name

SVP INC.

Practice address

720 N Industrial Blvd
Euless, TX 76039-7439

Phone

(817) 283-5308

Fax

(817) 283-2308

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jayne Laughbaum

Title

General Manager

Phone

(817) 283-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Super Vallue Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Locations

Practitioners 1

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

• Tara Meynard

  • Pharmacist
  • Euless, TX
  • NPI 1760033195
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1487784674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N INDUSTRIAL BLVD",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760397439",
            "telephone_number": "817-283-5308",
            "fax_number": "817-283-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N INDUSTRIAL BLVD",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760397439",
            "telephone_number": "817-283-5308",
            "fax_number": "817-283-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "LAUGHBAUM",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "817-283-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "16368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4510512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Vallue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Euless, TX
• Providers in Euless, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.