Healthcare Provider Details

I. General information

NPI: 1518221993
Provider Name (Legal Business Name): SUPERIOR PHARMACY SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 E ALGONQUIN RD SUITE 606
SCHAUMBURG IL
60173-4144
US

IV. Provider business mailing address

2050 E ALGONQUIN RD SUITE 606
SCHAUMBURG IL
60173-4144
US

V. Phone/Fax

Practice location:
  • Phone: 847-469-2400
  • Fax:
Mailing address:
  • Phone: 847-469-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number054017966
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054017966
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number054017966
License Number StateIL

VIII. Authorized Official

Name: MR. ROBERT S CAPPA
Title or Position: PRESIDENT, TREASURER, SECRETARY
Credential:
Phone: 484-494-3121