SUPER D DRUGS
NPI 1154404564
Pharmacy - Community/Retail Pharmacy in Jackson, MS

NPI Status: Active since October 23, 2006

Contact Information

2055 RAYMOND RD
JACKSON, MS
ZIP 39204
Phone: (601) 372-0662
Fax: (601) 372-0667

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About SUPER D DRUGS

This page provides the complete NPI Profile along with additional information for Super D Drugs, a provider established in Jackson, Mississippi operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1154404564 assigned on October 2006. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Super D Drugs. The authorized official of this NPI record is Joyce Strom (Retail Support)

NPI
1154404564
Provider Legal Name
SUPER D DRUGS ACQUISITION CO
Other Organization Name
SUPER D DRUGS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2055 RAYMOND RD JACKSON, MS 39204
Location Phone
(601) 372-0662
Location Fax
(601) 372-0667
Mailing Address
2100 BROOKWOOD DR LITTLE ROCK, AR 72202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
11-19-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

01012012 (MS)
2333600000XSuppliers

Pharmacy

01012/01.2 (MS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOYCE STROM

Authorized Official Title
RETAIL SUPPORT
Authorized Official Phone
(501) 296-3312

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2514114OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
330373MEDICAID (05)MS 
1199580009MEDICARE NSC (07)MS 
00440775OTHER (01)MSMEDICAID DME
00330373MEDICAID (05)MS 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154404564
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104808512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 0 + 8 + 5 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1154404564 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154404564, enumerated in the NPI registry as an "organization" on October 23, 2006

The provider is located at 2055 Raymond Rd Jackson, Ms 39204 and the phone number is (601) 372-0662

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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