Premier Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054-018906 Issued in IL

Legal business name

PREMIER FAMILY PHARMACY INC

Doing business as

Premier Family Pharmacy

Practice address

5600 W 87TH St Ste B
Burbank, IL 60459-2902

Phone

(708) 952-0000

Fax

(708) 598-0606

NPI assigned

Dec 29, 2014

Last updated

Jan 23, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bassel Joudeh

Title

President

Phone

(708) 952-0000

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Premier Family Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1083002034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W 87TH ST",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592902",
            "telephone_number": "708-952-0000",
            "fax_number": "708-598-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W 87TH ST STE B",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592902",
            "telephone_number": "708-952-0000",
            "fax_number": "708-598-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "JOUDEH",
        "authorized_official_first_name": "BASSEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-952-0000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-018906",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ricardo Perales, ATC
• Julia Piech
• Sheena L Pierce, NP
• Gopal K. Popli, M.D.
• Neenu Prasad, M.D.
• Premiere Family Health Inc
• Premiere Imaging and Open MRI Inc
• Anita Jolanta Prusak
• Jason Timothy Pursley, D.C.
• Arub Qureshi, OD

• Community/Retail Pharmacy in Burbank, IL
• Providers in Burbank, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.