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DR. NICHOLAS SUPER PHARM.D.
NPI 1508096686
Pharmacist - Ambulatory Care in Hines, IL

Active since July 22, 2009
5000 S 5TH AVE, HINES, IL 60141(708) 940-1808 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2023, Nov 3, 2023 (2 updates tracked since 2023).

About Dr. Nicholas Super Pharm.d. NPPES

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

DR. NICHOLAS SUPER PHARM.D. (NPI 1508096686) is an individual ambulatory care provider in Hines, Illinois, licensed in Illinois (051.293513) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1508096686
Entity TypeIndividualMale
Primary Taxonomy1835P2201X
Provider Legal NameDR. NICHOLAS SUPERCredential: PHARM.D.
Location Address5000 S 5TH AVEHines, IL 60141-3030
Mailing Address831 Clarence AveOak Park, IL 60304-1307 · (773) 899-5234
Phone(708) 940-1808
Sole ProprietorNo
Enumeration DateJuly 22, 2009
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1508096686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License✔ Licensed in IL · 051.293513
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
5000 S 5TH AVE, Hines, IL 60141
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Other Providers at the Same Location NPPES 20

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

ALVARO FRIAS-PARTIDA ATC, RKT
Kinesiotherapist
5000 S 5TH AVE
HINES, IL 60141
Cook County (630) 235-8382
DR. JAMIE L MATHEWS PSYD
Psychologist (Clinical)
5000 S 5TH AVE
HINES, IL 60141
Cook County (708) 202-8387
CATHERINE ELIZABETH MAZZUCA MSW, LCSW
Social Worker (Clinical)
5000 S 5TH AVE, BUILDING 1, ROOM D102-D
HINES, IL 60141
Cook County (708) 202-4406
KATHLEEN COLANGELO PH.D.
Psychologist (Clinical)
5000 S 5TH AVE
HINES, IL 60141
Cook County (708) 202-8387
EDWARD HINES JR. VA HOSPITAL
Military Hospital (Military General Acute Care Hospital)
5000 S 5TH AVE
HINES, IL 60141
Cook County (708) 202-8387
RACHEL GILL
Recreation Therapist
5000 S 5TH AVE
HINES, IL 60141
Cook County (708) 202-8387
VALLARI SHAH PHARMD
Pharmacist
5000 S 5TH AVE
HINES, IL 60141
Cook County (708) 202-4054
KARLA G HUDSON MD
Internal Medicine
5000 S 5TH AVE
HINES, IL 60141
Cook County (708) 202-8387

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 Nicholas Super's NPI number?

The NPI number for Nicholas Super is 1508096686. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Nicholas Super located?

Nicholas Super practices at 5000 S 5th Ave, Hines, IL 60141. The listed phone number is (708) 940-1808.

What is Nicholas Super's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Nicholas Super was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.