Hook-Superx LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

HOOK-SUPERX LLC

Practice address

51467 State Road 933
South Bend, IN 46637-1617

Phone

(574) 243-0904

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY # 08646 Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Tax ID family

Super X Drugs VA-065 Ipl300 organizations share this tax ID, including this one

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.

• Hook-Superx LLC

  • Pharmacy
  • Evansville, IN
  • NPI 1669575379
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • New Palestine, IN
  • NPI 1669575387
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Fort Wayne, IN
  • NPI 1669575395
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Indianapolis, IN
  • NPI 1679514590
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Indianapolis, IN
  • NPI 1679676167
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Michigan City, IN
  • NPI 1679676209
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Salem, IN
  • NPI 1679676381
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Elkhart, IN
  • NPI 1679676399
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Munster, IN
  • NPI 1689696304
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Bluffton, IN
  • NPI 1689777369
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Fort Wayne, IN
  • NPI 1689777393
  NPD tax ID
• Hook-Superx LLC

  • Pharmacy
  • Trafalgar, IN
  • NPI 1689838419
  NPD tax ID

Member of 1

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

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1699719955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51467 STATE ROAD 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466371617",
            "telephone_number": "574-243-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOK-SUPERX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1560944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY # 08646",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hoosier Medtrans LLC
• Sage Hooten
• Camron Bryce Hooton

• All providers in South Bend, IN
• Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.