CVS PHARMACY # 05369 - NPI 1083903579 - Pharmacy in Fort Wayne, IN

Q: What is Hook-Superx LLC's NPI number?

The NPI number for Hook-Superx LLC is 1083903579. It was assigned to this organization in the NPPES registry on April 5, 2011. The provider is doing business as CVS Pharmacy # 05369.

Q: What is Hook-Superx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Hook-Superx LLC was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Cvs Pharmacy # 05369 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY # 05369 (NPI 1083903579) is a healthcare organization registered as a pharmacy in Fort Wayne, Indiana and active in the NPI registry since April 2011. The organization lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1083903579

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameHOOK-SUPERX LLC

Location Address6279 E STATE BLVDFort Wayne, IN 46815-7641

Mailing Address1 Cvs Dr, Box 1075- Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108

Phone(260) 492-0951

Organization SubpartNo

Authorized OfficialSusan F ColbertDirector, Payer Relations · (401) 770-2751

Enumeration DateApril 5, 2011

Last NPPES UpdateFebruary 19, 2024

NPPES CertifiedFebruary 19, 2024

✔ NPI 1083903579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

6279 E STATE BLVD, Fort Wayne, IN 46815

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Other Names 1

Doing Business AsCvs Pharmacy # 05369

Other Identifiers 2

Medicaid201023030AIN

Other1563293IN · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

126 services126 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

61 services61 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

58 services58 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH ELIZABETH HUTH R.N.

Nurse Practitioner (Family)