SUPER DISCOUNT PHARMACY (NPI# 1649296716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649296716 |
| Entity Type | Organization |
| Organization Name | SUPER DISCOUNT PHARMACY |
| Other Organization Name | SUPER DISCOUNT PHARMACY |
| Practice Address |
2010 Spring Place Rd Se Cleveland TN 37323-3337 |
| Mailing Address |
Po Box 3240 Cleveland TN 37320-3240 |
| Practice Telephone | 4234722121 |
| Practice Fax Number | 4234722169 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOE MOORE (OWNER) |
| Authorized Official Telephone | 4234722121 |
| Authorized Official Credential | CPHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 0000000248 | TN | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4417312 | 01 | |
| TN | 3567483 | 05 |
| Other Name | Type Code |
|---|---|
| SUPER DISCOUNT PHARMACY | Doing Business As Name - Organization |
| Street Address |
2010 SPRING PLACE RD SE |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37323-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538220496 | Common Illness Clinic LLC | Clinic/Center | 2010 Spring Place Rd Se, Cleveland, TN 37323-3337 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477066082 | Quadmed Medical Clinics of Wisconsin, S.c. D/b/a Quadmed Medical Group | Registered Nurse | 2525 Benton Pike Ne, Cleveland, TN 37323 | 2017-11-06 |
| 1679877518 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 207 Kile Lake Road, Cleveland, TN 37323 | 2011-01-07 |
| 1376847251 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 209 Kile Lake Road, Cleveland, TN 37323 | 2011-01-06 |
| 1508084302 | Karen Elizabeth Gannon | Nurse Practitioner | 11111 Doctor's Office Tower, 2200 Children's Way, Nashville, TN 37323 | 2007-04-24 |
| 1235353566 | Melissa D Townsend | Specialist/Technologist, Other | 120 Fern Drive, Cleveland, TN 37323 | 2007-04-11 |
| 1306965686 | David Wayne Miolen | Dentist | 2648 Apd 40, Cleveland, TN 37323 | 2007-03-28 |
| 1780751933 | Linda Fay Wooten | Driver | 2259 Spring Place Rd Se, Cleveland, TN 37323 | 2006-11-30 |
| 1487134482 | Kristy Alese Henegar | Nurse Practitioner | 1420 Fritz St Se, Cleveland, TN 37323 | 2018-08-19 |
| 1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
| 1831339589 | Lyle Foster Johnson | Occupational Therapy Assistant | 2657 Apd 40, Cleveland, TN 37323-0696 | 2009-02-20 |
| Find all providers in zip 37323 | ||||
| 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 |
|---|---|---|---|---|
| 1629617352 | Ritefyl LLC | Pharmacy | 10414 Saint Clair Ave, Cleveland, OH 44108-1957 | 2019-12-28 |
| 1487211058 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1&2, Cleveland, TN 37311-5868 | 2019-05-20 |
| 1982191912 | Apn Pharmacy LLC | Pharmacy | 105 N San Jacinto Ave, Cleveland, TX 77327 | 2018-04-16 |
| 1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
| 1871970004 | Ameriwell Beneficial Community Services | Pharmacy | 9500 Detroit Ave, Cleveland, OH 44102 | 2015-04-27 |
| 1609288976 | Crp Pharmacy LLC | Pharmacy | 10567 Saint Clair Ave, Cleveland, OH 44108-1973 | 2014-05-21 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1093138299 | Signature Health Inc | Pharmacy | 1400 W 25th St, 2nd Floor, Cleveland, OH 44113-3148 | 2014-01-24 |
| 1053667204 | Emmanuel Ventures Limited LLC | Pharmacy | 4127 E 131st St, Miles Supermarket, Cleveland, OH 44105-5563 | 2012-07-25 |
| 1467738732 | Church Square Pharmacy Inc. | Pharmacy | 11201 Shaker Blvd Ste 126, Cleveland, OH 44104-3833 | 2011-10-31 |
| Find all providers in CLEVELAND | ||||
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| 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.