SUPER D DRUGS ACQUISITION CO (NPI# 1962553941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962553941 |
| Entity Type | Organization |
| Organization Name | SUPER D DRUGS ACQUISITION CO |
| Other Organization Name | SIMS DRUG |
| Practice Address |
124 W Stephenson Ave Harrison AR 72601-4224 |
| Mailing Address |
Usa Drug Lockbox 14226 Chicago IL 60693-0001 |
| Practice Telephone | 8707412361 |
| Practice Fax Number | 8707419747 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-11-21 |
| Authorized Official Name | MR. GARY M. BOONE (DIRECTOR OF HME OPERATIONS) |
| Authorized Official Telephone | 4793946363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR19021 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0419021 | 01 | |
| AR | 127265407 | 05 |
| Other Name | Type Code |
|---|---|
| SIMS DRUG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992042964 | Super D Drugs Acquisition Co | Pharmacy | 3022 N Midland Dr, Pine Bluff, AR 71603-4829 | 2013-01-11 |
| 1508197047 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 907 West Business Hwy. 60, Dexter, MO 63841 | 2010-01-22 |
| 1558440891 | Super D Drugs Acquisition Co | Pharmacy | 300 East 8th Street, Danville, AR 72833 | 2006-11-06 |
| 1417030032 | Super D Drugs Acquisition Co | Pharmacy | 516 Nakoma Dr, Jackson, MS 39206-3332 | 2006-10-24 |
| 1104909738 | Super D Drugs Acquisition Co | Pharmacy | 527 W Kearney St, Springfield, MO 65803-2523 | 2006-10-24 |
| 1295818821 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 201 S 28th Avenue, Hattiesburg, MS 39401 | 2006-10-24 |
| 1013090646 | Super D Drugs Acquisition Co | Pharmacy | 2565 E Sunshine St, Springfield, MO 65804-1824 | 2006-10-24 |
| 1154404564 | Super D Drugs Acquisition Co | Pharmacy | 2055 Raymond Rd, Jackson, MS 39204-4131 | 2006-10-23 |
| 1417030826 | Super D Drugs Acquisition Co | Pharmacy | 225 E Pacific St, Springfield, MO 65803-2832 | 2006-10-23 |
| 1245313659 | Super D Drugs Acquisition Co | Pharmacy | 6396 Highway 51 N, Horn Lake, MS 38637-2411 | 2006-10-23 |
| Street Address |
124 W STEPHENSON AVE |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497863310 | Joe Marcus Hagler | Pharmacist | 124 W Stephenson Ave, Harrison, AR 72601-4224 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| 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] |
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| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
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| 1619519436 | Donna Ring Corporation | Pharmacy | 138 S 2nd, Piggott, AR 72454 | 2019-10-14 |
| 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.