NPIMap

Organization Active NPI

Superior Pharmacy of Temple Terrace

  • Specialty Pharmacy
  • Temple Terrace, FL
National Provider Identifier
1982906046
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH24908 Issued in FL
Legal business name
SUPERIOR PHARMACY OF TEMPLE TERRACE
Doing business as
superior pharmacy of temple terrace
Practice address
11521 N 56TH St
Temple Terrace, FL 33617-2238
Phone
(813) 989-1351
Fax
(813) 988-4795
NPI assigned
Nov 23, 2010
Last updated
Nov 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Ike OkekeNPI 1043411515
Title
Pharmacy Manager
Phone
(813) 368-2746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X PH24908 FL Primary

Addresses

Primary practice location

11521 N 56TH St
Temple Terrace, FL 33617-2238

Mailing address

11521 N. 56TH St
Temple Terrace, FL 33617
Phone (813) 989-1351

Other identifiers 1

IdentifierTypeStateIssuer
5702685OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • superior pharmacy of temple terrace Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Superior Pharmacy of Temple Terrace2 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

11521 N 56th St
Temple Terrace, FL 33617
Phone (813) 989-1351

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1982906046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11521 N. 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "33617",
            "telephone_number": "813-989-1351",
            "fax_number": "813-988-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11521 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172238",
            "telephone_number": "813-989-1351",
            "fax_number": "813-988-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY OF TEMPLE TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "813-368-2746"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH24908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5702685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "superior pharmacy of temple terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.