SUPER D DRUG ACQUISITION CO. INC. NPI 1881629780

NPI Information

NPI: 1881629780
Provider Name: SUPER D DRUG ACQUISITION CO., INC.

Doing Business As: VITAL CARE OF OXFORD

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1201 OFFICE PARK DR
SUITE 2
OXFORD, MS
ZIP 38655
Phone: (662) 234-7666
Get Directions

SUPER D DRUG ACQUISITION CO., INC. is a durable medical equipment medical supplies in Oxford, MS. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SUPER D DRUG ACQUISITION CO., INC. NPI is 1881629780. The provider is registered as an organization entity type.
The provider Is Doing Business As Vital Care Of Oxford.

The provider's business location address is:

1201 OFFICE PARK DR
SUITE 2
OXFORD, MS
ZIP 38655-598
Phone: (662) 234-7666
Fax: (662) 236-1211

The provider's authorized official is Gary Boone .
The authorized official title is President and has the following contact phone number (662) 234-7666.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		04340/02.1	MISSISSIPPI	Yes
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	04340/02.1	MISSISSIPPI	X
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	04340/02.1	MISSISSIPPI	X
4	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	04340/02.1	MISSISSIPPI	X
5	333600000X	Pharmacy		04340/02.1	MISSISSIPPI	X
6	3336C0003X	Pharmacy	Community/Retail Pharmacy	04340/02.1	MISSISSIPPI	X
7	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	04340/02.1	MISSISSIPPI	X
8	3336L0003X	Pharmacy	Long Term Care Pharmacy	04340/02.1	MISSISSIPPI	X
9	3336M0002X	Pharmacy	Mail Order Pharmacy	04340/02.1	MISSISSIPPI	X
10	3336S0011X	Pharmacy	Specialty Pharmacy	04340/02.1	MISSISSIPPI	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00040337	MEDICAID	MISSISSIPPI
2	640870044003	OTHER		CHAMPUS/TRICARE
3	00330376	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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