TODD SUPER PHARM.D., BCPS – NPI #1053729269
Pharmacist

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.

TODD SUPER is a pharmacist located in PAW PAW, MI. NPPES has assigned the NPI number 1053729269 to TODD SUPER on July 31, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1835P2201X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Ambulatory Care

The NPI profile was previously updated about 8 years ago on Jul 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TODD SUPER below.

NPI Profile for
TODD SUPER

NPI Number
1053729269
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TODD SUPER
Credentials
PHARM.D., BCPS
Primary location
451 HEALTH PKWY
PAW PAW, MI 49079
Phone: (269) 655-1735 Fax:
1 Other location(s):
300 North Ave
Battle Creek, MI 49017-3307
Phone: (126) 924-5852
Mailing address
451 HEALTH PKWY STE F
PAW PAW, MI 49079-8242
Phone: (269) 655-1735 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P2201X
- Pharmacist / Ambulatory Care (Primary)
MI 5302036387
1835P1200X
- Pharmacist / Pharmacotherapy
MI 5302036387
183500000X
- Pharmacist
MI 5302036387

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.