OrganizationActive
Super D Drug Acquisition Co.
NPI 1528064367 · Pharmacy · Prescott, AR
Provider details
- NPI number
- 1528064367
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gary Boone, Director of Hme Operations(479) 394-6363
- License
- 65694 (AR)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1430 W 1st St N
Prescott, AR 71857-3339
Phone: (870) 887-2717
Fax: (870) 887-2113
Street-level locationGet directions
Mailing address
1430 W 1st St N
Prescott, AR 71857-3339
Other names (DBA / former)
- Doing business as
- Holly'S Health Mart #23
Registry dates
- Enumerated
- 2005-06-27
- Last updated
- 2009-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.