Organization Active NPI

Superior Pharmacy LLC

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1962603431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PH0020915 Issued in FL
Legal business name
SUPERIOR PHARMACY LLC
Practice address
5101 E Busch Blvd Ste 1
Tampa, FL 33617-5380
Phone
(813) 989-1351
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ike Okeke
Title
Director
Phone
(813) 989-1351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH0020915 FL Primary

Addresses

Primary practice location

5101 E Busch Blvd Ste 1
Tampa, FL 33617-5380

Mailing address

5101 E Busch Blvd Ste 1
Tampa, FL 33617-5380
Phone (813) 989-1351

National Provider Directory

National Provider Directory
Tax ID family
Superior Pharmacy LLC2 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.

Locations

5101 E Busch Blvd
Ste 1
Tampa, FL 33617
Phone (813) 368-2746

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962603431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 E BUSCH BLVD STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336175380",
            "telephone_number": "813-989-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 E BUSCH BLVD STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336175380",
            "telephone_number": "813-989-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-989-1351"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH0020915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

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.

Verify at the official NPI Registry.