IndividualActive
Nicholas Super, PHARM.D.
NPI 1508096686 · Ambulatory Care Pharmacist · Hines, IL
Nicholas Super, PHARM.D. is a Ambulatory Care Pharmacist provider in Hines, IL (NPI 1508096686).
Provider details
- NPI number
- 1508096686
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 051.293513 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
5000 S 5th Ave
Hines, IL 60141-3030
Phone: (708) 940-1808
Approximate (ZIP-level) locationGet directions
Mailing address
831 Clarence Ave
Oak Park, IL 60304-1307
Registry dates
- Enumerated
- 2009-07-22
- Last updated
- 2023-11-22
- Certified
- 2023-11-22
Frequently asked questions
- What is Nicholas Super's NPI number?
- Nicholas Super's National Provider Identifier (NPI) is 1508096686, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Super's specialty?
- Nicholas Super is listed in the NPPES registry with a primary specialty of Ambulatory Care Pharmacist (Pharmacy Service Providers).
- Where is Nicholas Super located?
- Nicholas Super's practice location on file with NPPES is 5000 S 5th Ave, Hines, IL 60141-3030.
- What is Nicholas Super's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Super is (708) 940-1808.
- Is Nicholas Super's NPI active?
- Yes — Nicholas Super's NPI (1508096686) is active in the NPPES registry as of the last update on 2023-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.