Super 1 Foods Pharmacy #642 is an authorized DME supplier for medicare equipments and products.
Super 1 Foods Pharmacy #642 is a Pharmacy in Tyler, Texas. This pharmacy is owned and operated by Brookshire Grocery Company. It is located at 172 Centennial Pkwy, Tyler and it's customer support contact number is 903-525-6923. The authorized person of Super 1 Foods Pharmacy #642 is Jim Cousineau who is Senior Vp Pharmacy Operations of the pharmacy and his contact number is 903-877-6829. Active license number of Super 1 Foods Pharmacy #642 is 30243 for Pharmacy in Texas. Super 1 Foods Pharmacy #642 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Super 1 Foods Pharmacy #642 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.
Pharmacy Details:
Super 1 Foods Pharmacy #642 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Super 1 Foods Pharmacy #642
Type:
Pharmacy
Location:
172 Centennial Pkwy, Tyler, Texas, 75703
Phone:
903-525-6923
Fax:
903-581-2421
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Jim Cousineau
Position:
Senior Vp Pharmacy Operations
Contact Number:
903-877-6829
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1962874602
NPI Enumeration Date:
21 Oct, 2015
NPI Last Update On:
21 Sep, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Super 1 Foods Pharmacy #642 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
30243
Texas
Primary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2154729
Other
Pk
470992
Medicaid
Texas
Medicare Enrollment:
Super 1 Foods Pharmacy #642 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1355415712
O20160802002852
Brookshire Grocery Company
DME SUPPLIER - PHARMACY
Products Available:
Super 1 Foods Pharmacy #642 has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Heat & Cold Applications
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Surgical Dressings
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1411, Attention Pharmacy Department Tyler, Texas
Zip:
75710-1411
Phone Number:
903-877-6862
Fax Number:
903-877-3820
Patients can reach Super 1 Foods Pharmacy #642 at 172 Centennial Pkwy, Tyler, Texas or can call on customer care at 903-525-6923.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.