SUPERIOR PHARMACY, INC. (NPI# 1811084023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811084023 |
| Entity Type | Organization |
| Organization Name | SUPERIOR PHARMACY, INC. |
| Other Organization Name | MENKE DRUG, INC. |
| Practice Address |
348 N Central Ave Superior NE 68978-1715 |
| Mailing Address |
Po Box 308 Superior NE 68978-0308 |
| Practice Telephone | 4028794234 |
| Practice Fax Number | 4028793131 |
| Mailing Telephone | 4028794234 |
| Mailing Fax Number | 4028793131 |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | LANE HAWLEY (PRESIDENT) |
| Authorized Official Telephone | 4028794234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2567 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NABP NUMBER | 2804359 | 01 |
| Other Name | Type Code |
|---|---|
| Menke Drug, Inc. | Former Legal Business Name - Organization |
| Street Address |
348 N CENTRAL AVE |
| City | SUPERIOR |
| State | NE |
| Zip Code | 68978-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309810 | Torey Kohmetscher | Pharmacist | 348 N Central Ave, Superior, NE 68978-1715 | 2019-04-11 |
| 1164903605 | Karen Terese Kroll | Pharmacist | 348 N Central Ave, Superior, NE 68978-1715 | 2018-08-23 |
| 1205200110 | Andrew Carter | Pharmacist | 348 N Central Ave, Superior, NE 68978-1715 | 2015-11-17 |
| 1053493023 | Stacy Lynne Souerdyke | Pharmacist | 348 N Central Ave, Superior Pharmacy, Superior, NE 68978-1715 | 2006-10-19 |
| 1386724185 | Lane L Hawley | Pharmacist | 348 N Central Ave, Superior, NE 68978-1715 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144475740 | Superior Vision PC | Eyewear Supplier (Equipment, not the service) | 358 Central Ave, Superior, NE 68978 | 2008-11-24 |
| 1427234160 | Elinor Lynn Wilton | Speech-Language Pathologist | 4034 Road C, Superior, NE 68978 | 2008-01-11 |
| 1780720904 | Sharon Greenwood | Counselor | 344 North Dakota, Superior, NE 68978 | 2007-01-29 |
| 1780776583 | South Central Behavioral Services | Clinic/Center | 520 East 10th Street, Broadstone Memorial Hospital, Superior, NE 68978 | 2006-09-29 |
| 1780804112 | Terry Dale Kermoade | Pharmacist | 520 East 10th Street, Superior, NE 68978 | 2007-04-26 |
| 1033288097 | Peggy Ann Meyer | Counselor | 520 E 10th St, Superior, NE 68978 | 2006-11-06 |
| 1013024215 | Steve Abe Fox | Nurse Anesthetist, Certified Registered | 1324 Montana St, Superior, NE 68978-1038 | 2006-08-24 |
| 1790777936 | Timothy Blecha | Specialist | 525 E 11th St, Superior, NE 68978-1101 | 2005-08-15 |
| 1568756609 | Alisha Fangmeyer | Nurse Practitioner | 525 E 11th St, Superior, NE 68978-1101 | 2011-06-07 |
| 1245552140 | Matthew Gatlin | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2010-02-18 |
| Find all providers in zip 68978 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1477979326 | The Duluth Clinic, Ltd. | Pharmacy | 2202 E 2nd St., Suite 477, Superior, WI 54880-5395 | 2014-03-14 |
| 1063881399 | The Duluth Clinic, Ltd. | Pharmacy | 3500 Tower Ave, Suite C, Superior, WI 54880-4685 | 2015-09-16 |
| 1871962282 | The Duluth Clinic, Ltd. | Pharmacy | 3500 Tower Ave, Suite B, Superior, WI 54880-4685 | 2015-09-16 |
| 1154437564 | The Duluth Clinic, Ltd | Pharmacy | 3500 Tower Ave, Suite A, Superior, WI 54880-5335 | 2006-08-21 |
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| 1952960783 | Lincoln Pharmacy LLC | Pharmacy | 3300 A Street, Ste 100, Lincoln, NE 68510-4512 | 2019-06-06 |
| 1457819922 | Providence Medical Center | Pharmacy | 803 Providence Rd Ste 101, Wayne, NE 68787-1590 | 2019-03-04 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1083128250 | Innovative Pain & Spine Specialists | Pharmacy | 7121 Stephanie Ln Ste 104, Lincoln, NE 68516-5359 | 2017-11-27 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1699191734 | Arborpharm, LLC | Pharmacy | 203 S 7th St, Ste B, Wymore, NE 68466 | 2014-03-13 |
| 1982020590 | B&r Stores, Inc | Pharmacy | 611 N Burlington Ave, Hastings, NE 68901-5037 | 2014-03-07 |
| 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.