NPI age
8 years
Enumerated 2017-07-25
● Active Type 2 · Organization
Super Frisco Pharmacy Llc
Super Frisco Pharmacy Llc is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dear
Officer
Last NPPES update
2018-05-31
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
8 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-07Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
5350 Independence Pkwy Ste 110a
Frisco, TX 750354652
Mailing address
5350 Independence Pkwy Ste 110a
Frisco, TX 750354652
Authorized official
Jack Dear
Officer
📞 2143578889
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 000 | |
| 05 (TX) | 0000 | |
| 01 | 2170590 | PK |
| 05 (TX) | 00 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CENTENNIAL PHARMACY
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.