Super D Drugs Acquisition Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

038398 Issued in MO

Legal business name

SUPER D DRUGS ACQUISITION CO

Practice address

907 West Business Hwy. 60
Dexter, MO 63841

Phone

(573) 624-6968

Fax

(573) 624-3635

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Chad Cooper

Title

Pharmacy Services Coordinator

Phone

(501) 296-3337

Specialties & licenses 3

Addresses

Other names 1

• Overturf Pharmacy DME #8437 Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Walgreen Co

  • Pharmacy
  • South Chicago Heights, IL
  • NPI 1538175096

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1508197047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BROOKWOOD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722021734",
            "telephone_number": "479-394-6363",
            "fax_number": "479-394-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 WEST BUSINESS HWY. 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "63841",
            "telephone_number": "573-624-6968",
            "fax_number": "573-624-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER D DRUGS ACQUISITION CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHARMACY SERVICES COORDINATOR",
        "authorized_official_telephone_number": "501-296-3337"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "038398",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MO",
            "license": "038398",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MO",
            "license": "038398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overturf Pharmacy DME #8437",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stoddard County Family Care LLC
• Stoddard County Targeted Case Management Inc
• Stoddard Emergency Group, LLC
• Stoddard No 1 Inc
• Super D Drug Acquisition Company
• Mack Adam Taylor, DDS
• The Professional Counseling Group, Inc.
• Deidre Thompson, RD, LD, CSR
• TLC Adult Day Center Dexter, LLC
• Total Renal Care Inc

• Durable Medical Equipment & Medical Supplies in Dexter, MO
• Providers in Dexter, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.