Super Value Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

590 Issued in TX

Legal business name

SUPER VALUE DRUGS INC

Practice address

6807 Emmett F Lowry Expy
Ste 104
Texas City, TX 77591-2546

Phone

(409) 945-3381

Fax

(409) 333-3334

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

George Larach

Title

Pharmacist in Charge

Phone

(713) 928-3210

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• super value drugs Doing business as

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1821174830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542291",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772542291",
            "telephone_number": "409-945-3381",
            "fax_number": "409-333-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPY",
            "address_2": "STE 104",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912546",
            "telephone_number": "409-945-3381",
            "fax_number": "409-333-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER VALUE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "LARACH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "713-928-3210"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127328",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146260",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "super value drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystal Latrice Strother, FNP
• Success on the Spectrum
• John Allen Suggs, PT
• Danielle Pek Summerlin, RPH
• Eddie Lee Summers Jr., DDS
• Susinder K Syal MD PA
• Nicole Michelle Susino
• Lauren Maurie Sutton, NURSE PRACTITIONER
• Suzanne Schafer, DO, PA
• Chandni Syal, DNP FNP

• Community/Retail Pharmacy in Texas City, TX
• Providers in Texas City, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.