IKE'S #1
NPI 1679656086
Pharmacy - Community/Retail Pharmacy in Memphis, TN

Active since October 23, 2006
5040 PARK AVE, MEMPHIS, TN 38117(901) 761-9570(901) 682-3266 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ike's #1 NPPES

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

IKE'S #1 (NPI 1679656086) is a healthcare organization registered as a community/retail pharmacy in Memphis, Tennessee and active in the NPI registry since October 2006. The organization lists Gary M. Boone, Director Of Hme Operations, as its authorized official.

NPPES Registry Identity

NPI1679656086
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPER D DRUGS ACQUISITION, CO.
Location Address5040 PARK AVEMemphis, TN 38117-5709
Mailing Address803 Highway 71 NMena, AR 71953-4367 · (479) 394-6363 · Fax (479) 394-1046
Fax(901) 682-3266
Organization SubpartNo
Authorized OfficialGary M. BooneDirector Of Hme Operations · (479) 394-6363
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 7, 2009
NPI 1679656086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 2316 (TN)
Also ListedEyewear SupplierTaxonomy 332H00000X · License DPO0000000704 (TN)
Also ListedPharmacyTaxonomy 333600000X · License 2316 (TN)
5040 PARK AVE, Memphis, TN 38117

Other Names 1

Doing Business AsIke's #1

Other Identifiers 5

Other00440986TN · Medicaid Dme
Medicare NSC1199580002
Other4427096Other Id Number-commercial Number
Other870001323TN · Medicare Flu
Medicaid9449785TN

Other Providers at the Same Location NPPES

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

Pharmacist
5040 PARK AVE
MEMPHIS, TN 38117

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 D Drugs Acquisition, Co.'s NPI number?

The NPI number for Super D Drugs Acquisition, Co. is 1679656086. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Ike's #1.

Where is Super D Drugs Acquisition, Co. located?

Super D Drugs Acquisition, Co. is located at 5040 Park Ave, Memphis, TN 38117. The listed phone number is (901) 761-9570.

What is Super D Drugs Acquisition, Co.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Super D Drugs Acquisition, Co. was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.