Superior Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

054-016533 Issued in IL

Legal business name

SUPERIOR PHARMACY INC

Practice address

356 W Superior St
Chicago, IL 60654-3416

Phone

(312) 988-7300

Fax

(312) 988-4600

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alan Jackson, MD

Title

President

Phone

(773) 619-4102

Specialties & licenses 1

Addresses

Tax ID family

Superior Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Superior Pharmacy

  • Mail Order Pharmacy
  • Chicago, IL
  • NPI 1942449335
  NPD tax ID

Locations

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1891934436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 W SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543416",
            "telephone_number": "312-988-7300",
            "fax_number": "312-988-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543416",
            "telephone_number": "312-988-7300",
            "fax_number": "312-988-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-619-4102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054-016533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panjaporn Supanwanid Henrich, M.D.
• Super Therapy Clinic LTD
• Riccardo Superina, MD
• Superior Orthopedics, Inc.
• Superior Pharmacy
• Superior Physician Services Il LLC
• Superior Rehab Center LLC
• Superior RX Inc.
• Superior Therapy & Counseling Services LLC
• Superior Treatment and Reliable Services

• Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.