6010 Super RX Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

031740 Issued in NY

Legal business name

6010 SUPER RX INC

Doing business as

superior pharmacy

Practice address

6010A Kissena Blvd
Flushing, NY 11355-5548

Phone

(718) 445-8450

Fax

(718) 445-8450

NPI assigned

Oct 23, 2012

Last updated

Sep 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fred Latai

Title

SP Pharmacist

Phone

(718) 445-8450

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• superior pharmacy Doing business as

Locations

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1942553367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010A KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555548",
            "telephone_number": "718-445-8450",
            "fax_number": "718-445-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010A KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555548",
            "telephone_number": "718-445-8450",
            "fax_number": "718-445-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "6010 SUPER RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "LATAI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "SP PHARMACIST",
        "authorized_official_telephone_number": "718-445-8450"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "031740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139023",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03528925",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "superior pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.