Active NPI
Hook-Superx LLC
Doing business as CVS Pharmacy # 10173
- Pharmacy
- Carmel, IN
National Provider Identifier
1629410451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- HOOK-SUPERX LLC
- Doing business as
- CVS Pharmacy # 10173
- Practice address
- 367 W 116TH St
Carmel, IN 46032-3287 - Phone
- (317) 574-0145
- NPI assigned
- Jul 22, 2013
- Last updated
- Dec 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
367 W 116TH St
Carmel, IN 46032-3287
Mailing address
1 CVS Dr
Box - 1075 - Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- CVS Pharmacy # 10173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101018000112 | IN | Part B Supplier - Mass Immunization (Roster Biller Only) | 1658310602 |
This NPI is an additional NPI on the enrollment Practice locations: Indianapolis, IN |
| O20131212001454 | IN | DME Supplier - Pharmacy | 1658310602 | Practice locations: Carmel, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2282881 | Hook-Superx LLC Dba CVS/Pharmacy #10173 | Certificate of waiver | May 25, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hook-Superx LLC | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Super X Drugs VA-044
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
367 W 116th St
Carmel, IN 46032
Phone (317) 574-0145
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Carmel, IN
- NPI 1083267462
-
- Pharmacist
- Carmel, IN
- NPI 1457956427
-
- Pharmacist
- Whitestown, IN
- NPI 1447802046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388448000000",
"number": "1629410451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX - 1075 - PHARMACY ENROLLMENTS",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500",
"fax_number": "401-770-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 W 116TH ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323287",
"telephone_number": "317-574-0145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOOK-SUPERX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-22",
"last_updated": "2013-12-31",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy # 10173",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Carmel, IN
- Hook-Superx LLC (CVS Pharmacy #08674)
- Hook-Superx LLC (CVS Pharmacy #04635)
- Hook-Superx LLC (CVS Pharmacy #16448)
- Hook-Superx LLC (CVS Pharmacy #16705)
- Hook-Superx LLC (CVS Pharmacy # 01367)
- Nicholas Allen Hooley, PA-C
- Perry Hooper, MD
- Krista Hoose, PHARMD
- Hoosier Foot & Ankle LLC
- Hoosier Sole Mate, Inc (Z-CoiL Pain Relief Footwear)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.