Active NPI
Super Saver Pharmacy #No 2 LLC
Doing business as Super Saver Pharmacy
- Community/Retail Pharmacy
- Kissimmee, FL
National Provider Identifier
1871548602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH21929
- Legal business name
- SUPER SAVER PHARMACY #NO 2 LLC
- Doing business as
- Super Saver Pharmacy
- Practice address
- 200 Park Place Blvd
Kissimmee, FL 34741-2344 - Phone
- (407) 846-0765
- Fax
- (407) 846-0738
- NPI assigned
- May 23, 2006
- 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
- Devan Mathura
- Title
- Owner
- Phone
- (407) 343-1230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH21929 | FL | Primary |
Addresses
Primary practice location
200 Park Place Blvd
Kissimmee, FL 34741-2344
Mailing address
2701 Michigan Ave
Kissimmee, FL 34744-1214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018692 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- SUPER SAVER PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Linden Care Orlando
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Kissimmee, FL
- NPI 1023156106
Locations
2701 Michigan Ave
Kissimmee, FL 34744
Phone (321) 352-1625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871548602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 MICHIGAN AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347441214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PARK PLACE BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412344",
"telephone_number": "407-846-0765",
"fax_number": "407-846-0738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPER SAVER PHARMACY #NO 2 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MATHURA",
"authorized_official_first_name": "DEVAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-343-1230"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH21929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1018692",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUPER SAVER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kissimmee, FL
- Sunshine Speech Therapy Services
- Sunshine State Nutrition and Wellness, LLC
- Sunspire Health Florida, LLC (WhiteSands Alcohol & Drug Rehab Kissimmee)
- Super Saver Pharmacy # 2
- Super Saver Pharmacy #3 LLC (Super Saver Pharmacy #3)
- Superior Surgical Assisting, LLC
- Superior Surgical PA's of FL,LLC
- Supportive Solutions Home Care LLC
- Surgical Centers of Central Florida LLC
- Surgical Management LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.