SUPERIOR CARE PHARMACY INC (NPI# 1649641309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649641309 |
| Entity Type | Organization |
| Organization Name | SUPERIOR CARE PHARMACY INC |
| Other Organization Name | SUPERIOR CARE PHARMACY |
| Practice Address |
9064 Pulsar Ct Suite G&h Corona CA 92883-7354 |
| Practice Telephone | 6197853993 |
| Practice Fax Number | 8446372447 |
| Mailing Telephone | 6197853993 |
| Mailing Fax Number | 8446372447 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | MR. DEREK ISHAQUE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6197853993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHY53762 | CA | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY53762 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| SUPERIOR CARE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513292 | Superior Care Pharmacy Inc | Pharmacy | 518 Burke Byp, Olyphant, PA 18447-1805 | 2019-05-16 |
| 1124130133 | Superior Care Pharmacy Inc | Pharmacy | 514 Burke Byp, Olyphant, PA 18447-1805 | 2006-08-31 |
| 1295054716 | Superior Care Pharmacy Inc | Pharmacy | 161 East Main Street, Suite 104, La Mesa, CA 91942-1534 | 2010-05-24 |
| Street Address |
9064 PULSAR CT SUITE G&H |
| City | CORONA |
| State | CA |
| Zip Code | 92883-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170797 | Khalid Hamdullah Sayedi | Pharmacist | 9064 Pulsar Ct, Corona, CA 92883-7354 | 2015-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496815 | Onyinye Yvonne Johnson | Nurse Practitioner | 27223 Lasso Way, Corona, CA 92883 | 2017-09-21 |
| 1215376850 | Jennifer Carol Bard | Speech-Language Pathologist | 4194 Floyd Drive, Corona, CA 92883 | 2013-06-17 |
| 1023359619 | Richard Joon Kim | Pharmacist | 4315 Driving Range Rd, Corona, CA 92883 | 2013-03-07 |
| 1740590330 | Kim-thoa Thi Vu | Pharmacist | 2243 Eagle Glen Parkway, Corona, CA 92883 | 2010-10-15 |
| 1114232154 | Always 'tfy' Hospice, Inc. | Hospice Care, Community Based | 9064 Pulsar Court, Ste E, Corona, CA 92883 | 2010-08-14 |
| 1952553844 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 11950 Depalma Rd, Corona, CA 92883 | 2008-10-22 |
| 1497979280 | Sang C Paik Dds | Dentist | 3811 Bedford Canyon Rd, Suite 105, Corona, CA 92883 | 2007-04-12 |
| 1285615864 | Mallory Leon | Family Medicine | 25085 Pacific Crest Street, Corona, CA 92883 | 2005-11-09 |
| 1326038993 | Chan Woo Lee | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2005-10-25 |
| 1659575736 | Optique Optometry, A Professional Corporation | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2007-06-13 |
| Find all providers in zip 92883 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487054839 | Corona Medical Inc | Pharmacy | 320 Bonnie Cir, Corona, CA 92880-6974 | 2014-09-03 |
| 1407256720 | Egyptian Inc | Pharmacy | 1875 California Ave, Corona, CA 92881-6477 | 2014-08-25 |
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|---|---|---|---|---|
| 1508465873 | Nskape Inc | Pharmacy | 6780 Indiana Ave Ste 145, Riverside, CA 92506-4270 | 2020-10-19 |
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| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1518585587 | Asr Health Inc. | Pharmacy | 12677 Hesperia Rd Ste 180, Victorville, CA 92395-7754 | 2020-07-07 |
| 1619594660 | Burts Specialty Pharmacy | Pharmacy | 2628 Conejo Center Dr, Thousand Oaks, CA 91320-1407 | 2020-06-25 |
| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
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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.