Super Care Drugs Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY46214 Issued in CA

Legal business name

SUPER CARE DRUGS INC

Practice address

23357 Pacific Coast Hwy
Malibu, CA 90265-4957

Phone

(310) 456-9059

Fax

(310) 456-6529

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Thomas S Park, RPHNPI 1194707562

Title

Pharmacist

Phone

(310) 456-1177

Specialties & licenses 1

Addresses

Other names 1

• Super Care Drugs-Malibu Doing business as

Locations

Practitioners 4

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

• Thomas S Park, RPH

  • Pharmacist
  • Malibu, CA
  • NPI 1194707562
  NPD (past) Authorized official
• Suzanne Elizabeth Matteson

  • Pharmacy Technician
  • Malibu, CA
  • NPI 1760692123
  NPD (past)
• Curtis L Pollard, CPHT

  • Pharmacy Technician
  • Malibu, CA
  • NPI 1164757977
  NPD (past)
• Shahram Soroudi, PHARMD

  • Pharmacist
  • Malibu, CA
  • NPI 1407917669
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1942282884",
    "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": "23357 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654957",
            "telephone_number": "310-456-9059",
            "fax_number": "310-456-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CARE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "310-456-1177",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY46214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Care Drugs-Malibu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan J Stiffelman, MFT
• Morgan Stiles, LCSW138546
• Amanda Nicole Stinson, LMFT
• Sydney Strabala
• Sunset Malibu
• Susan Johnson MD PC
• Susan S Ransome MD a Professional Medical Corporation
• Gabriel Swerdlow
• Kent B Tablada, ED.D.; LMFT
• Samina Habib Taha, M.D.

• Pharmacy in Malibu, CA
• Providers in Malibu, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.