IndividualActive
Justin Super, PHARM.D.
NPI 1295283778 · Pharmacotherapy Pharmacist · Detroit, MI
Justin Super, PHARM.D. is a Pharmacotherapy Pharmacist provider in Detroit, MI (NPI 1295283778).
Provider details
- NPI number
- 1295283778
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5302041356 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21431 Grand River Ave
Detroit, MI 48219-3801
Phone: (313) 778-7610
Fax: (313) 778-7665
Street-level locationGet directions
Mailing address
5580 Larkins Dr
Troy, MI 48085
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2016-09-14
Frequently asked questions
- What is Justin Super's NPI number?
- Justin Super's National Provider Identifier (NPI) is 1295283778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Super's specialty?
- Justin Super is listed in the NPPES registry with a primary specialty of Pharmacotherapy Pharmacist (Pharmacy Service Providers).
- Where is Justin Super located?
- Justin Super's practice location on file with NPPES is 21431 Grand River Ave, Detroit, MI 48219-3801.
- What is Justin Super's phone number?
- The practice phone number listed in the NPPES registry for Justin Super is (313) 778-7610.
- Is Justin Super's NPI active?
- Yes — Justin Super's NPI (1295283778) is active in the NPPES registry as of the last update on 2016-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.