MEDICARE: HOOK-SUPERX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1560893	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1568406924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOOK-SUPERX LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5208 W WASHINGTON ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46241-2208
Country	:	US
Telephone Number	:	317-486-9667
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, PAYER RELATIONS
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	02/19/2024

Similar Medicare Providers

1386249365 — JACOB MANKIN
Practice Location Address:

5208 W WASHINGTON ST
INDIANAPOLIS, IN
46241-2208

Practice Phone: 317-486-9667
Practice Fax:

1891390746 — SENTHIL RAJ SRINIVASAN
Practice Location Address:

5208 W WASHINGTON ST
INDIANAPOLIS, IN
46241-2208

Practice Phone: 317-486-9667
Practice Fax: 317-486-9678

1659219392 — BOLANLE OLUWAKEMI DEJI-OLOTU
Practice Location Address:

5208 W WASHINGTON ST
INDIANAPOLIS, IN
46241-2208

Practice Phone: 317-486-9667
Practice Fax:

1003849605 — ACE FOSTER CARE AND PEDIATRIC HOME NURSING AGENCY
Practice Location Address:

7026 INDIANAPOLIS BLVD
HAMMOND, IN
46324-2208

Practice Phone: 219-989-9650
Practice Fax: 219-989-9649

1326273988 — ACE CHILDREN'S HEALTH CLINIC
Practice Location Address:

7026 INDIANAPOLIS BLVD
HAMMOND, IN
46324-2208

Practice Phone: 219-989-9650
Practice Fax: 219-989-9649

1407417066 — MIALAUNI GRIGGS-HOLKE LMFT
Practice Location Address:

7030 INDIANAPOLIS BLVD
HAMMOND, IN
46324-2208

Practice Phone: 773-726-7497
Practice Fax:

Directions to “HOOK-SUPERX LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.