Organization Active NPI

Super Bee Discount Pharmacy, Inc.

  • Pharmacy
  • Rainbow City, AL
National Provider Identifier
1912067752
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
109340 Issued in AL
Legal business name
SUPER BEE DISCOUNT PHARMACY, INC.
Practice address
3225 Rainbow Dr Ste 200a
Rainbow City, AL 35906-5860
Phone
(256) 442-2592
Fax
(256) 442-2587
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Deborah Hutcheson AdamsNPI 1861717076
Title
Owner/Pharmacist
Phone
(256) 442-2592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4148 AL
Pharmacy 333600000X 109340 AL Primary

Addresses

Primary practice location

3225 Rainbow Dr Ste 200a
Rainbow City, AL 35906-5860

Mailing address

3225 Rainbow Dr Ste 200a
Rainbow City, AL 35906-5860
Phone (256) 442-2592

Other identifiers 2

IdentifierTypeStateIssuer
100001093MedicaidAL
0110902OtherALNABP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930016227 AL DME Supplier - Pharmacy 1850504812 Practice locations: Rainbow City, AL
O20191121001542 AL Part B Supplier - Pharmacy 1850504812 Practice locations: Rainbow City, AL
O20201007001902 AL Part B Supplier - Mass Immunization (Roster Biller Only) 1850504812 Practice locations: Rainbow City, AL

National Provider Directory

National Provider Directory

Locations

3354 Rainbow Dr
Ste 101
Rainbow City, AL 35906
Phone (256) 442-2592

3354 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-2592

3225 Rainbow Dr
Ste 200A
Rainbow City, AL 35906
Phone (256) 442-2592

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1912067752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 RAINBOW DR STE 200A",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065860",
            "telephone_number": "256-442-2592",
            "fax_number": "256-442-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 RAINBOW DR STE 200A",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065860",
            "telephone_number": "256-442-2592",
            "fax_number": "256-442-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER BEE DISCOUNT PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "HUTCHESON",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "256-442-2592"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "4148",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "109340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001093",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0110902",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.