Superior Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUPERIOR PHARMACY, INC.

Practice address

348 N Central Ave
Superior, NE 68978-1715

Phone

(402) 879-4234

Fax

(402) 879-3131

NPI assigned

Oct 7, 2006

Last updated

Oct 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew CarterNPI 1205200110

Title

President

Phone

(402) 879-4234

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Menke Drug, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Carter, PHARMD

  • Pharmacist
  • Superior, NE
  • NPI 1205200110
  NPD Authorized official
• Penny Jo Carter, RP

  • Pharmacist
  • Superior, NE
  • NPI 1336732254
  NPD
• Lane L Hawley, PHARM.D.

  • Pharmacist
  • Superior, NE
  • NPI 1386724185
  NPD
• Torey Kohmetscher, PHARMD, MPH

  • Pharmacist
  • Superior, NE
  • NPI 1306309810
  NPD (past)
• Karen Terese Kroll, PHARMD

  • Pharmacist
  • Superior, NE
  • NPI 1164903605
  NPD (past)
• Stacy Lynne Souerdyke, PHARM D

  • Pharmacist
  • Superior, NE
  • NPI 1053493023
  NPD (past)

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1811084023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689780308",
            "telephone_number": "402-879-4234",
            "fax_number": "402-879-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 N CENTRAL AVE",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781715",
            "telephone_number": "402-879-4234",
            "fax_number": "402-879-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-879-4234"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "2804359",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menke Drug, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Menke Drug, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brooke Luella Slangal
• Stacy Lynne Souerdyke, PHARM D
• South Central Behavioral Services
• Jett Stenson, M.S., CCC-SLP
• Rebekka Stephens
• Superior Physical Therapy LLC
• Superior Vision PC
• Stephanie Svoboda, D.D.S
• Teachworth Chiropractic LLC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Superior)

• Community/Retail Pharmacy in Superior, NE
• Providers in Superior, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.