Organization Active NPI

Super Care Drugs - Beverly Hills LLC

  • Community/Retail Pharmacy
  • Beverly Hills, CA
National Provider Identifier
1851692347
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50400 Issued in CA
Legal business name
SUPER CARE DRUGS - BEVERLY HILLS LLC
Practice address
220 N Canon Dr
Beverly Hills, CA 90210-5302
Phone
(310) 271-2111
Fax
(310) 271-2110
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Thomas Park
Title
Pic
Phone
(310) 271-2111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 50400 CA Primary

Addresses

Primary practice location

220 N Canon Dr
Beverly Hills, CA 90210-5302

Mailing address

23661 Pacific Coast Hwy
Malibu, CA 90265-4825
Phone (310) 456-1177

Other identifiers 1

IdentifierTypeStateIssuer
2127500OtherPK

Other names 1

  • SUPER CARE DRUGS - BEVERLY HILLS Doing business as

National Provider Directory

National Provider Directory

Locations

220 N Canon Dr
Beverly Hills, CA 90210
Phone (310) 271-2111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1851692347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23661 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654825",
            "telephone_number": "310-456-1177",
            "fax_number": "310-456-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N CANON DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105302",
            "telephone_number": "310-271-2111",
            "fax_number": "310-271-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CARE DRUGS - BEVERLY HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "310-271-2111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER CARE DRUGS - BEVERLY HILLS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.