OrganizationActive
Super Saver Pharmacy #3 LLC
NPI 1679649180 · Durable Medical Equipment & Medical Supplies · Kissimmee, FL
Provider details
- NPI number
- 1679649180
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Devan Mathura, Managing Member(321) 284-4631
- License
- PH22086 (FL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1901 South John Young Parkway
Suite 101
Kissimmee, FL 34741
Phone: (321) 284-4631
Fax: (407) 518-1134
Street-level locationGet directions
Mailing address
1901 South John Young Parkway
Kissimmee, FL 34741
Other names (DBA / former)
- Doing business as
- Super Saver Pharmacy #3
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2008-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.