Super D Drug Acquisition Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PS005111 Issued in MO

Legal business name

SUPER D DRUG ACQUISITION COMPANY

Practice address

904 W Business US Highway 60
Dexter, MO 63841-2701

Phone

(501) 296-3337

Fax

(501) 296-3310

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Chad Cooper

Title

Pharmacy Services Coordinator

Phone

(501) 296-3337

Specialties & licenses 1

Addresses

Other names 1

• David's Pharmacy Doing business as

Member of 1

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

• Walgreen Co

  • Pharmacy
  • South Chicago Heights, IL
  • NPI 1538175096

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1801958780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA DRUG LOCKBOX",
            "address_2": "14226 COLLECTION CENTER DRIVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930001",
            "telephone_number": "501-296-3337",
            "fax_number": "501-296-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W BUSINESS US HIGHWAY 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412701",
            "telephone_number": "501-296-3337",
            "fax_number": "501-296-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER D DRUG ACQUISITION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHARMACY SERVICES COORDINATOR",
        "authorized_official_telephone_number": "501-296-3337"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "PS005111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stoddard County Arc Isl
• Stoddard County Family Care LLC
• Stoddard County Targeted Case Management Inc
• Stoddard Emergency Group, LLC
• Stoddard No 1 Inc
• Super D Drugs Acquisition Co
• Mack Adam Taylor, DDS
• The Professional Counseling Group, Inc.
• Deidre Thompson, RD, LD, CSR
• TLC Adult Day Center Dexter, LLC

• Community/Retail Pharmacy in Dexter, MO
• Providers in Dexter, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.