Super Rockwall Drugstore,lp
Community/Retail Pharmacy
3021 Ridge Rd, Suite 103, Rockwall
Texas, 75032-5806
972-772-0500 972-772-5512
Super Rockwall Drugstore,lp is a Community/Retail Pharmacy in Rockwall, Texas. It is located at 3021 Ridge Rd, Suite 103, Rockwall and it's customer support contact number is 972-772-0500. The authorized person of Super Rockwall Drugstore,lp is Miss Marites Talavera Serna, RPH who is President of the pharmacy and her contact number is 972-772-0500. Active license number of Super Rockwall Drugstore,lp is 22390 for Community/Retail Pharmacy in Texas. Super Rockwall Drugstore,lp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Super Rockwall Drugstore,lp 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 Rockwall Drugstore,lp 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 Rockwall Drugstore,lp |
| Type: | Community/Retail Pharmacy |
| Location: | 3021 Ridge Rd, Suite 103, Rockwall,
Texas, 75032-5806 |
| Phone: | 972-772-0500 |
| Fax: | 972-772-5512 |
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: | Miss Marites Talavera Serna |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 972-772-0500 |
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: | 1467596817 |
| NPI Enumeration Date: | 19 Feb, 2007 |
| NPI Last Update On: | 11 Mar, 2015 |
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 Rockwall Drugstore,lp are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 22390 | Texas | Primary | |
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 |
| 145240 | Medicaid | Texas | |
| 22390 | Other | Texas | Texas Pharmacy License |
Medicare Enrollment:
Super Rockwall Drugstore,lp 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 |
| 2668431867 | O20041004001169 | Super Rockwall Drugstore | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 2668431867 | O20100930097567 | Super Rockwall Drugstore | DME SUPPLIER - PHARMACY |
Products Available:
Super Rockwall Drugstore,lp has following products available for sale under medicare.
| Products: |
|---|
| • Automatic External Defibrillators (aeds) | • Blood Glucose Monitors & Supplies: Mail Order |
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Breast Prostheses & Accessories |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Continuous Passive Motion (cpm) Devices | • Cpap, Rads, & Related Supplies & Accessories |
| • Diabetic Shoes & Inserts: Custom Fabricated | • Diabetic Shoes & Inserts: Prefabricated |
| • Dynamic Splints | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Eye Prostheses |
| • Facial Prostheses | • Gastric Suction Pumps |
| • Heat & Cold Applications | • High Frequency Chest Wall Oscillation (hfcwo) Devices |
| • Hospital Beds: Electric | • Hospital Beds: Manual |
| • Infrared Heating Pad Systems | • Infusion Pumps & Supplies: External Infusion |
| • Infusion Pumps & Supplies: Implanted Infusion | • Infusion Pumps & Supplies: Insulin Infusion |
| • Intermittent Positive Pressure Breathing (ippb) Devices | • Intrapulmonary Percussive Ventilation Devices |
| • Invasive Mechanical Ventilation | • Mechanical In-exsufflation Devices |
| • Nebulizer Equipment & Supplies | • Negative Pressure Wound Therapy Pumps & Supplies |
| • Neuromuscular Electrical Stimulators (nmes) | • Neurostimulators |
| • Ocular Prostheses | • Orthoses: Custom Fabricated |
| • Orthoses: Prefabricated | • Osteogenesis Stimulators |
| • Ostomy Supplies | • Oxygen Equipment & Supplies |
| • Parenteral Equipment And/or Supplies | • Parenteral Nutrients |
| • Patient Lifts | • Pneumatic Compression Devices |
| • Power Operated Vehicles (scooters) | • Respiratory Suction Pumps |
| • Seat Lift Mechanisms | • Somatic Prostheses |
| • Speech Generating Devices | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Surgical Dressings | • Tracheostomy Care Supplies |
| • Tracheostomy Supplies | • Traction Equipment |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Ultraviolet Light Devices |
| • Urological Supplies | • Ventilators, Accessories & Supplies |
| • Voice Prosthetics | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Complex Rehabilitative Manual |
| • Wheelchairs & Accessories: Complex Rehabilitative Power | • Wheelchairs & Accessories: Standard Manual |
| • Wheelchairs & Accessories: Standard Power | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3021 Ridge Rd, Suite 103
Rockwall, Texas |
| Zip: | 75032-5806 |
| Phone Number: | 972-772-0500 |
| Fax Number: | 972-772-5512 |
Patients can reach Super Rockwall Drugstore,lp at
3021 Ridge Rd, Suite 103, Rockwall, Texas or can
call on customer care at 972-772-0500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.