Superior Care Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Superior Care Pharmacy Inc is a Long Term Care Pharmacy in La Mesa, California. It is located at 161 East Main Street, Suite 104, La Mesa and it's customer support contact number is 619-785-3993. The authorized person of Superior Care Pharmacy Inc is Mr. Derek M Ishaque who is Cfo of the pharmacy and his contact number is 619-785-3993. Active license number of Superior Care Pharmacy Inc is PHY 50311 for Long Term Care Pharmacy in California. Superior Care Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Superior Care Pharmacy Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Superior Care Pharmacy Inc 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:
Superior Care Pharmacy Inc
Type:
Long Term Care Pharmacy
Location:
161 East Main Street, Suite 104, La Mesa, California, 91942-1534
Phone:
619-785-3993
Fax:
844-637-2447
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:
Mr. Derek M Ishaque
Position:
Cfo
Contact Number:
619-785-3993
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:
1295054716
NPI Enumeration Date:
24 May, 2010
NPI Last Update On:
09 Feb, 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 Superior Care Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
PHY 50311
California
Primary
Pharmacy
PHY 50311
California
Secondary
Community/Retail Pharmacy
PHY 50311
California
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
PHY 50311
Other
California
Retail Pharmacy Permit
Medicare Enrollment:
Superior Care Pharmacy Inc 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
3476843061
O20160610000573
Superior Care Pharmacy Inc
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
161 East Main Street, Suite 104 La Mesa, California
Zip:
91942-1534
Phone Number:
619-785-3993
Fax Number:
844-637-2447
Patients can reach Superior Care Pharmacy Inc at 161 East Main Street, Suite 104, La Mesa, California or can call on customer care at 619-785-3993.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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