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SUPER D DRUGS #4
NPI 1780767194
Pharmacy - Community/Retail Pharmacy in Cookeville, TN

Active since October 23, 2006
1028 N WASHINGTON AVE, COOKEVILLE, TN 38501(931) 526-9786(931) 520-0936 Get Directions Write a Review

NPPES record last updated: November 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Super D Drugs #4 NPPES

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

SUPER D DRUGS #4 (NPI 1780767194) is a healthcare organization registered as a community/retail pharmacy in Cookeville, 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

NPI1780767194
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPER D DRUGS ACQUISITION CO.
Location Address1028 N WASHINGTON AVECookeville, TN 38501-1834
Mailing Address803 Highway 71 NMena, AR 71953-4367 · (479) 394-6363 · Fax (479) 394-1046
Phone(931) 526-9786
Fax(931) 520-0936
Organization SubpartNo
Authorized OfficialGary M. BooneDirector Of Hme Operations · (479) 394-6363
Enumeration DateOctober 23, 2006
Last NPPES UpdateNovember 18, 2008
✔ NPI 1780767194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 1897 (TN)
Also ListedPharmacyTaxonomy 333600000X · License 1897 (TN)
1028 N WASHINGTON AVE, Cookeville, TN 38501
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Other Names 1

Doing Business AsSuper D Drugs #4

Other Identifiers 5

Medicare NSC1199580038TN
Other4403438Other Id Number-commercial Number
Medicaid9440786TN
Other3914212TN · Medicare Flu
Other1452309TN · Medicaid Dme

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 1780767194. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Super D Drugs #4.

Where is Super D Drugs Acquisition Co. located?

Super D Drugs Acquisition Co. is located at 1028 N Washington Ave, Cookeville, TN 38501. The listed phone number is (931) 526-9786.

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 November 18, 2008. 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.