SN Supreme LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

28RS00679300 Issued in NJ

Legal business name

SN SUPREME LLC

Practice address

1301 N 10TH St
Suite #1
Millville, NJ 08332-2033

Phone

(877) 244-6558

Fax

(856) 210-1556

NPI assigned

Sep 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alton Chatmon, PHARM. D.

Title

President, Pharmacy Operations

Phone

(609) 598-2453

Specialties & licenses 1

Addresses

Other names 1

• Supreme Health Doing business as

Locations

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

{
    "created_epoch": "1222560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222560000000",
    "number": "1770733693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N 10TH ST",
            "address_2": "SUITE #1",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322033",
            "telephone_number": "877-244-6558",
            "fax_number": "856-210-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 10TH ST",
            "address_2": "SUITE #1",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322033",
            "telephone_number": "877-244-6558",
            "fax_number": "856-210-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SN SUPREME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-28",
        "last_updated": "2008-09-28",
        "status": "A",
        "authorized_official_last_name": "CHATMON",
        "authorized_official_first_name": "ALTON",
        "authorized_official_title_or_position": "PRESIDENT, PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "609-598-2453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NJ",
            "license": "28RS00679300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supreme Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Millville, NJ
• Providers in Millville, NJ by specialty
• Mail Order Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.