Organization Active NPI

Family Enterprises Inc

Doing business as Super Saver Discount Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Poplar Bluff, MO
National Provider Identifier
1568667608
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FAMILY ENTERPRISES INC
Doing business as
Super Saver Discount Pharmacy
Practice address
Hwy 53 and Broadway
Poplar Bluff, MO 63902
Phone
(573) 686-1919
Fax
(573) 686-8450
NPI assigned
Jun 19, 2007
Last updated
Dec 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
David Wendel, RPH
Title
President
Phone
(573) 686-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

Hwy 53 and Broadway
Poplar Bluff, MO 63902

Mailing address

PO Box 1187
Poplar Bluff, MO 63902-1187
Phone (573) 686-1919

Other identifiers 1

IdentifierTypeStateIssuer
622198703MedicaidMO

Other names 1

  • SUPER SAVER DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1568667608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639021187",
            "telephone_number": "573-686-1919",
            "fax_number": "573-686-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 53 AND BROADWAY",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63902",
            "telephone_number": "573-686-1919",
            "fax_number": "573-686-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-686-1919",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622198703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER SAVER DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.