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HOOK-SUPERX LLC NPI 1245330554


NPI Information

NPI: 1245330554
Provider Name: HOOK-SUPERX LLC

Doing Business As: CVS PHARMACY #17294

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 15D2222176

Address:
3801 COLDWATER RD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 470-6361
Get Directions

HOOK-SUPERX LLC is a pharmacy in Fort Wayne, IN. The provider is 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. HOOK-SUPERX LLC NPI is 1245330554. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17294.

The provider's business location address is:

3801 COLDWATER RD
FORT WAYNE, IN
ZIP 46805-101
Phone: (260) 470-6361
Fax: (260) 470-6371

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 15D2222176 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12025470OTHERPK
2200844790AMEDICAIDINDIANA
30431510995MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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