Active NPI
Family Enterprises Inc
Doing business as Super Saver Discount Pharmacy
- Community/Retail Pharmacy
- Poplar Bluff, MO
National Provider Identifier
1780798751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 004525
- Legal business name
- FAMILY ENTERPRISES INC
- Doing business as
- Super Saver Discount Pharmacy
- Practice address
- 449 S Hwy 53
Poplar Bluff, MO 63901-7204 - Phone
- (573) 686-1919
- Fax
- (573) 686-8450
- NPI assigned
- Aug 18, 2006
- Last updated
- Nov 5, 2014
- 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
- David Wendel, RPH
- Title
- President
- Phone
- (573) 686-1919
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 004525 | MO | Primary |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
449 S Hwy 53
Poplar Bluff, MO 63901-7204
Mailing address
PO Box 1187
Poplar Bluff, MO 63902-1187
Phone (573) 686-1919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2050727 | Other | PK | |
| 602198707 | Medicaid | MO |
Other names 1
- SUPER SAVER DISCOUNT PHARMACY
National Provider Directory
National Provider DirectoryLocations
449 S Highway 53
Poplar Bluff, MO 63901
Phone (573) 686-1919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415145600000",
"number": "1780798751",
"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": "449 S HWY 53",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639017204",
"telephone_number": "573-686-1919",
"fax_number": "573-686-8450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2014-11-05",
"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": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "004525",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2050727",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "602198707",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUPER SAVER DISCOUNT PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poplar Bluff, MO
- Family Counseling Center, Inc. (FCC Behavioral Health)
- Family Counseling Center, Inc.
- Family Counseling Center, Inc. (FCC Primary Care)
- Family Counseling Center, Inc. (FCC's Family Practice Clinic)
- Family Enterprises Inc (Super Saver Discount Pharmacy)
- Amanda Marie Farmer
- Danielle Nichole Farmer, OTR/L
- David Farris, R.PH.
- Mary Farris
- Bonnie Sue Faughn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.