HOOK-SUPERX, L.L.C. (NPI# 1083903579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083903579 |
| Entity Type | Organization |
| Organization Name | HOOK-SUPERX, L.L.C. |
| Other Organization Name | CVS PHARMACY # 05369 |
| Practice Address |
6279 E State Blvd Fort Wayne IN 46815-7641 |
| Mailing Address |
1 Cvs Dr Box 1075- Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 2604920951 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2012-03-30 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | NCPDP | 1563293 | 01 |
| IN | 201023030A | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 05369 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285188805 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 16088 Spring Mill Station Dr, Westfield, IN 46074 | 2016-08-11 |
| 1497104798 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 10 East 81st Ave, Merrillville, IN 46410 | 2016-06-07 |
| 1235502774 | Hook-superx, L.L.C. | Registered Nurse | 600 E Boonville New Harmony Rd, Evansville, IN 47725 | 2015-11-05 |
| 1891002663 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 402 Market Place Dr., Greenwood, IN 46142 | 2010-09-01 |
| 1346556388 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 511 E. Boonville - New Harmony Rd, Evansville, IN 47725 | 2010-08-27 |
| 1023251444 | Hook-superx, L.L.C. | Pharmacy | 14575 Mundy Dr, Noblesville, IN 46060-7224 | 2009-04-15 |
| 1093971319 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 5865 Promenade Shops Blvd, Noblesville, IN 46062-5600 | 2008-08-06 |
| 1831355668 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 7935 Brookville Road, Indianapolis, IN 46239 | 2008-07-31 |
| 1497911259 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 5020 N State Road 135, Bargersville, IN 46106-8931 | 2008-07-31 |
| 1689838419 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 705 W Trafalgar Point Way, Trafalgar, IN 46181-9702 | 2008-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Hook-Superx, L.L.C. | 2800 Enterprise Ste 5, Indianapolis, IN 46219 |
| Iowa Business Entities | HOOK-SUPERX, L.L.C. | One Cvs Drive, Woosocket, RI 02895 |
| Washington State Corporations | HOOK-SUPERX, L.L.C. | 1 Cvs Dr, Mc 1160, Woonsocket, RI 02895-6146 |
| New York State Corporations | HOOK-SUPERX, L.L.C. | 28 Liberty St., New York, New York 10005 |
| Oregon Corporations, Companies and Business Names | HOOK-SUPERX, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Massachusetts Corporations | HOOK-SUPERX, L.L.C. | One Cvs Dr., Woonsocket, RI 02895 |
| Street Address |
6279 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-7641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871687 | Elgerene Monique Ridderheim | Nurse Practitioner | 6279 E State Blvd, Fort Wayne, IN 46815-7641 | 2018-05-16 |
| 1124540455 | Susan Eileen Bailey | Nurse Practitioner | 6279 E State Blvd, Fort Wayne, IN 46815-7641 | 2017-07-07 |
| 1396151197 | Brenda Ann Anderson | Registered Nurse | 6279 E State Blvd, Fort Wayne, IN 46815-7641 | 2014-07-01 |
| 1093151466 | Sarah Elizabeth Huth | Nurse Practitioner | 6279 E State Blvd, Fort Wayne, IN 46815-7641 | 2013-05-13 |
| 1851643076 | Deidra Curry | Registered Nurse | 6279 E State Blvd, Fort Wayne, IN 46815 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951210 | Pharmacy Corporation of America | Pharmacy | 6032 Highview Dr Ste C, Fort Wayne, IN 46818-1390 | 2020-01-15 |
| 1124170014 | Creative Compounding Solutions LLC | Pharmacy | 2803 E State Blvd, Fort Wayne, IN 46805-4732 | 2007-01-18 |
| 1669545976 | Kroger Limited Partnership I | Pharmacy | 601 E Dupont Rd, Fort Wayne, IN 46825-2055 | 2006-11-16 |
| 1467525774 | Kroger Limited Partnership I | Pharmacy | 5725 Coventry Ln, Fort Wayne, IN 46804-7146 | 2006-11-16 |
| 1679646293 | Kroger Limited Partnership I | Pharmacy | 218 E Pettit Ave, Fort Wayne, IN 46806-3005 | 2006-11-15 |
| 1396818910 | Kroger Limited Partnership I | Pharmacy | 324 E State Blvd, Fort Wayne, IN 46805-3224 | 2006-11-15 |
| 1902979420 | Kroger Limited Partnership I | Pharmacy | 6002 Saint Joe Center Rd, Fort Wayne, IN 46835-2503 | 2006-11-15 |
| 1578594537 | K Mart Corp | Pharmacy | 7530 S Anthony Blvd, Fort Wayne, IN 46816 | 2006-07-06 |
| 1033607502 | Aaron Daseler | Pharmacy | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-04-30 |
| 1811401052 | Rx Holdings, LLC | Pharmacy | 3537 N Anthony Blvd, Fort Wayne, IN 46805-1423 | 2017-11-27 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
Please comment or provide details below to improve the information on HOOK-SUPERX, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.