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Dr. Nicholas Alan Superko , PharmD

Pharmacist β€’ Clarks Summit, PA

Active NPI 1164298543 Individual Practitioner Male Practitioner
Practice location in NPPES

101 N State St
Clarks Summit, PA 184111055

Call 5705871205 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

101 N State St

Clarks Summit, PA 184111055

Telephone 5705871205
Organization at the Same NPPES Address or Phone
Pennsylvania Cvs Pharmacy, L.l.c. Facility NPI 1255435095

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clarks Summit and Pennsylvania

15 active clinicians are listed under Pharmacist with a practice address in Clarks Summit, PA (13,069 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clarks Summit

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES PA RP458903

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Joanne Tanner , CRNP

Nurse Practitioner - Family

NPI 1588764831

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 26, 2025

Registered at 101 N STATE ST, CLARKS SUMMIT, PA 184111055 (Tel: 5705871205)

πŸ“
Updated Practice Location June 11, 2025

Registered at 50 BRIDGE ST, TUNKHANNOCK, PA 186571502 (Tel: 5708366667)

πŸ‘€
Provider Name / Credentials Updated September 13, 2024

Recorded as NICHOLAS SUPERKO, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2024

Pharmacist (license number reported to NPPES: PA RP458903)

βœ…
NPI Profile Active November 28, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 28, 2023

Registered at 148 ENNIS LN, TOWANDA, PA 188489198 (Tel: 5702654769)

πŸ“
Business Mailing Address (Initial Record) November 28, 2023

Registered at 241 DOOLITTLE HILL RD, LACEYVILLE, PA 186236637 (Tel: 5707215209)

πŸ‘€
Provider Name / Credentials (Initial Record) November 28, 2023

Recorded as NICHOLAS SUPERKO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2023

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: PA PI124458)

🟒
Initial NPI Registration & Enumeration November 28, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164298543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2023
Last Update: November 26, 2025
Sole Proprietor: Yes

Mailing Address

241 Doolittle Hill Rd

Laceyville, PA 186236637

Phone: 5707215209

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.