Super 1 Pharmacy is an authorized DME supplier for medicare equipments and products.
Super 1 Pharmacy is a Community/Retail Pharmacy in Tyler, Texas. This pharmacy is owned and operated by Brookshire Grocery Company. It is located at 113 N Nw Loop 323, Attention Pharmacy Dept, Tyler and it's customer support contact number is 903-593-5369. The authorized person of Super 1 Pharmacy is Jim Cousineau, RPH who is Vp Pharmacy Operations of the pharmacy and his contact number is 903-877-6514. Active license number of Super 1 Pharmacy is 16797 for Community/Retail Pharmacy in Texas. Super 1 Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Super 1 Pharmacy is 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.
Pharmacy Details:
Super 1 Pharmacy 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.
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
Credentials:
RPH
Position:
Vp Pharmacy Operations
Contact Number:
903-877-6514
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:
1790858025
NPI Enumeration Date:
16 Nov, 2006
NPI Last Update On:
10 Aug, 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 Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
16797
Texas
Primary
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
463966
Medicaid
Texas
2105342
Other
Pk
Medicare Enrollment:
Super 1 Pharmacy 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
O20100930065468
Brookshire Grocery Company
DME SUPPLIER - PHARMACY
Products Available:
Super 1 Pharmacy 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
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:
1600 W Sw Loop 323, Po Box 1411 Tyler, Texas
Zip:
75701-8532
Phone Number:
903-877-6827
Fax Number:
903-877-3820
Patients can reach Super 1 Pharmacy at 113 N Nw Loop 323, Attention Pharmacy Dept, Tyler, Texas or can call on customer care at 903-593-5369.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.