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DR. JUSTIN R SUPER PHARM.D.
NPI 1295283778
Pharmacist - Pharmacotherapy in Detroit, MI

Active since September 14, 2016
21431 GRAND RIVER AVE, DETROIT, MI 48219(313) 778-7610(313) 778-7665 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin R Super Pharm.d. NPPES

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

DR. JUSTIN R SUPER PHARM.D. (NPI 1295283778) is an individual pharmacotherapy provider in Detroit, Michigan, licensed in Michigan (5302041356) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1295283778
Entity TypeIndividualMale
Primary Taxonomy1835P1200X
Provider Legal NameDR. JUSTIN R SUPERCredential: PHARM.D.
Location Address21431 GRAND RIVER AVEDetroit, MI 48219-3801
Mailing Address5580 Larkins DrTroy, MI 48085 · (131) 778-7610 · Fax (313) 778-7665
Phone(313) 778-7610
Fax(313) 778-7665
Sole ProprietorYes
Enumeration DateSeptember 14, 2016
✔ NPI 1295283778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License✔ Licensed in MI · 5302041356
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
21431 GRAND RIVER AVE, Detroit, MI 48219
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Other Providers at the Same Location NPPES 5

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

CHILDREN'S AMBULATORY SERVICES, LLC
Clinic/Center (Student Health)
21431 GRAND RIVER AVE
DETROIT, MI 48219
Wayne County (313) 745-0633
TONY TAYAR PHARMD
Pharmacist (Pharmacotherapy)
21431 GRAND RIVER AVE
DETROIT, MI 48219
Wayne County (313) 778-7610
MEIJER, INC.
Pharmacy (Community/Retail Pharmacy)
21431 GRAND RIVER AVE
DETROIT, MI 48219
Wayne County (313) 778-7610
DR. PRATIK PATEL PHARM.D.
Pharmacist (Pharmacotherapy)
21431 GRAND RIVER AVE
DETROIT, MI 48219
Wayne County (313) 778-7710
HALA TOKKO
Pharmacist
21431 GRAND RIVER AVE
DETROIT, MI 48219
Wayne County (313) 778-7610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Super's NPI number?

The NPI number for Justin Super is 1295283778. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Justin Super located?

Justin Super practices at 21431 Grand River Ave, Detroit, MI 48219. The listed phone number is (313) 778-7610.

What is Justin Super's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Justin Super was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.