Organization Active NPI

Superior Pharmacy Services Inc

  • Certified Registered Nurse Anesthetist
  • Iron Mountain, MI
National Provider Identifier
1760812879
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704179525 Issued in MI
Legal business name
SUPERIOR PHARMACY SERVICES INC
Practice address
1301 Carpenter Ave
Iron Mountain, MI 49801-4725
Phone
(906) 774-1404
NPI assigned
Nov 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Debra Calkins
Title
Billing Manager
Phone
(810) 659-7592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4704179525 MI Primary

Addresses

Primary practice location

1301 Carpenter Ave
Iron Mountain, MI 49801-4725

Mailing address

1451 Cedarwood Dr
Flushing, MI 48433-1875
Phone (810) 659-7592

Other names 1

  • CRNA Services Doing business as

National Provider Directory

National Provider Directory

Locations

1301 Carpenter Ave
Iron Mountain, MI 49801
Phone (800) 428-8149

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1760812879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 CEDARWOOD DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331875",
            "telephone_number": "810-659-7592",
            "fax_number": "810-659-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CARPENTER AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014725",
            "telephone_number": "906-774-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "810-659-7592"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704179525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRNA Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.