CVS PHARMACY # 06483 – NPI #1386747087
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CVS PHARMACY # 06483 is a pharmacy located in LA PORTE, IN. NPPES has assigned the NPI number 1386747087 to CVS PHARMACY # 06483 on September 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY # 06483” is a dba name, the actual legal business name for this organization is HOOK-SUPERX LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 2 years ago on Feb 15, 2024. 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 CVS PHARMACY # 06483 below.

NPI Profile for
HOOK-SUPERX LLC

NPI Number
1386747087
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOOK-SUPERX LLC
Doing Business As (dba): CVS PHARMACY # 06483
Primary location
1407 LINCOLNWAY
LA PORTE, IN 46350-3105
Phone: (219) 362-3446 Fax:
Mailing address
1 CVS DR
BOX 1075
WOONSOCKET, RI 02895-6146
Phone: (401) 765-1500 Fax:
Organization Subpart
No
Authorized Official
SUSAN COLBERT
SR. DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751
Updated
Certification Date
Feb 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
333600000X
- Pharmacy (Primary)
IN 60004706A
3336C0003X
- Pharmacy / Community/Retail Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669