Superior Care Pharmacy Inc
NPI 1649641309ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Corona, CA
Pharmacy, Long Term Care Pharmacy in Corona, California, registered in NPPES in October 2015. The authorized official on file is Derek Ishaque, President/Owner.
Overview
| NPI | 1649641309 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2015 |
| Last updated in NPPES | Oct 8, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | PHY53762 | CA |
| Pharmacy | 333600000X | PHY53762 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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