HOOK SUPERX LLC (NPI# 1639272339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639272339 |
| Entity Type | Organization |
| Organization Name | HOOK SUPERX LLC |
| Other Organization Name | CVS PHARMACY #06527 |
| Practice Address |
6220 St Joseph Center Rd Fort Wayne IN 46835 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2604857998 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-29 |
| Authorized Official Name | SUSAN 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 | 60004769A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1508780 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #06527 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447802251 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 336 S Delaware St, Indianapolis, IN 46204-3701 | 2019-07-11 |
| 1578053799 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 720 Northwestern Ave, West Lafayette, IN 47906-2652 | 2018-05-14 |
| 1851805774 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1447 South Waterleaf Dr, Westfield, IN 46074 | 2017-11-30 |
| 1720447931 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1404 Blackiston Mill Rd, Clarksville, IN 47129-2288 | 2016-02-16 |
| 1861875403 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 121 E Kirkwood Ave, Bloomington, IN 47408-3331 | 2015-07-01 |
| 1952798993 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 225 Joliet St., Dyer, IN 46311-1709 | 2015-04-16 |
| 1447659859 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1950 State St, New Albany, IN 47150 | 2014-08-21 |
| 1043658701 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 4225 Hobson Rd, Fort Wayne, IN 46815-4506 | 2013-06-04 |
| 1780747154 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 802 N Meridian St, Portland, IN 47371-1127 | 2006-12-18 |
| 1871652925 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 928 Us 27 N, Berne, IN 46711 | 2006-12-06 |
| Street Address |
6220 ST JOSEPH CENTER RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
| 1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
| 1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
| 1497922090 | Michelle A Bailey | Registered Nurse | 6108 Maplecrest Road, Fort Wayne, IN 46835 | 2008-05-13 |
| 1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
| 1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
| 1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
| 1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
| 1881940617 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2827 Northgate Blvd, Fort Wayne, IN 46835 | 2012-07-30 |
| Find all providers in zip 46835 | ||||
| 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 | 46835 |
Please comment or provide details below to improve the information on HOOK SUPERX LLC.
| 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.