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Super D Drug Acquisition Co., Inc.

Specialty Pharmacy in Oxford, MS · enumerated 2006 · authorized official Gary Boone, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881629780

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Registry record

Entity type Organization (Type 2)
Legal business name Super D Drug Acquisition Co., Inc.
Other name <Unavail>
Practice address 1201 Office Park Dr, Suite 2, Oxford, MS, 38655
Phone (662) 234-7666
Fax (662) 236-1211
Enumeration date Jul 11, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 04340/02.1 (MS) Secondary
332BC3200X Customized Equipment (DME) Suppliers · License 04340/02.1 (MS) Secondary
332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers · License 04340/02.1 (MS) Secondary
332BX2000X Oxygen Equipment & Supplies (DME) Suppliers · License 04340/02.1 (MS) Secondary
333600000X Pharmacy Suppliers · License 04340/02.1 (MS) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 04340/02.1 (MS) Secondary
3336H0001X Home Infusion Therapy Pharmacy Suppliers · License 04340/02.1 (MS) Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License 04340/02.1 (MS) Secondary
3336M0002X Mail Order Pharmacy Suppliers · License 04340/02.1 (MS) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 04340/02.1 (MS) Primary

Authorized official

Name Gary Boone
Title President
Phone (662) 234-7666

Other identifiers

Identifier Type State Issuer
00330376 Medicaid MS -
00040337 Medicaid MS -
640870044003 Other - CHAMPUS/TRICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Super D Drug Acquisition Co., Inc.?
The NPI for Super D Drug Acquisition Co., Inc. is 1881629780, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Super D Drug Acquisition Co., Inc.?
NPPES lists Gary Boone (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.