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SUPER HEALTH PHARMACY
NPI 1588239552
Pharmacy - Long Term Care Pharmacy in Staten Island, NY

Active since May 23, 2021CLIA 33D2191315 · Waiver
6390 AMBOY RD, STATEN ISLAND, NY 10309(718) 967-4600(718) 967-4601 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 28, 2021, May 23, 2021 (2 updates tracked since 2021).

About Super Health Pharmacy NPPES

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

SUPER HEALTH PHARMACY (NPI 1588239552) is a healthcare organization registered as a long term care pharmacy in Staten Island, New York and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mayank Parikh, President, as its authorized official.

NPPES Registry Identity

NPI1588239552
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSUPER HEALTH PHARMACY LLC
Location Address6390 AMBOY RDStaten Island, NY 10309-3155
Mailing Address6390 Amboy RdStaten Island, NY 10309-3155 · (718) 967-4600 · Fax (718) 967-4601
Phone(718) 967-4600
Fax(718) 967-4601
Organization SubpartNo
Authorized OfficialMayank ParikhPresident · (718) 967-4600
Enumeration DateMay 23, 2021
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1588239552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
6390 AMBOY RD, Staten Island, NY 10309
Open in Google Maps ↗

Other Names 1

Doing Business AsSuper Health Pharmacy

Other Identifiers 1

Medicaid04714256NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2191315

Super Health Pharmacy LLC · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2191315
Laboratory TypePharmacy
Certificate Effective DateAugust 25, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Chester H. Fox
Laboratory Phone(718) 967-4600
Laboratory LocationSuper Health Pharmacy LLC6390 Amboy Rd, Staten Island, NY 10309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

LEONID PEREDEREY PHARMD.
Pharmacist
6390 AMBOY RD
STATEN ISLAND, NY 10309
Richmond County (718) 967-4600
SUPER HEALTH PHARMACY LLC
Health Educator
6390 AMBOY RD
STATEN ISLAND, NY 10309
Richmond County (718) 967-4600
DR. MAYANK A PARIKH PHARMD
Pharmacist
6390 AMBOY RD
STATEN ISLAND, NY 10309
Richmond County (718) 967-4600
SUPER HEALTH PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
6390 AMBOY RD
STATEN ISLAND, NY 10309
Richmond County (718) 967-4600

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 Super Health Pharmacy LLC's NPI number?

The NPI number for Super Health Pharmacy LLC is 1588239552. It was assigned to this organization in the NPPES registry on May 23, 2021. The provider is doing business as Super Health Pharmacy.

Where is Super Health Pharmacy LLC located?

Super Health Pharmacy LLC is located at 6390 Amboy Rd, Staten Island, NY 10309. The listed phone number is (718) 967-4600.

What is Super Health Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Super Health Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2191315) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Super Health Pharmacy LLC accept?

Health plans from Avera Health Plans, Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Alabama and 10 other insurers list Super Health Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Super Health Pharmacy LLC was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.