Premier Drug, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1-7709 Issued in OK

Legal business name

PREMIER DRUG, LLC

Practice address

804 West I-240 Service Road, Suite F
Oklahoma City, OK 73139

Phone

(405) 378-4210

Fax

(405) 378-4211

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Moky Cheung

Title

Manager

Phone

(405) 378-4210

Specialties & licenses 2

Addresses

Other names 1

• Oklahoma Compounding Solutions, LLC Former legal business name

Locations

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1104252600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 WEST I-240 SERVICE ROAD, SUITE F",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-378-4210",
            "fax_number": "405-378-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 WEST I-240 SERVICE ROAD, SUITE F",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-378-4210",
            "fax_number": "405-378-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "MOKY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-378-4210"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "1-7709",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "8-7569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Compounding Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Oklahoma Compounding Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Retail Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.