Premier Pharmacy Socal LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PREMIER PHARMACY SOCAL LLC

Practice address

23297 S Pointe Dr Ste 100
Laguna Hills, CA 92653-1491

Phone

(661) 829-4250

NPI assigned

Apr 19, 2023

Organization subpart

Yes

Parent organization

PREMIER PHARMACY SOCAL LLCAs reported in NPPES

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

Authorized official

Name

Nadine Jarjur, PHARMD, MBA

Title

Director of LTC

Phone

(661) 829-4250

Specialties & licenses 3

Addresses

Other names 1

• Premier Pharmacy Solutions Laguna Doing business as

Part of

Premier Pharmacy Socal LLC

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1144917295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23297 S POINTE DR STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23297 S POINTE DR STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531491",
            "telephone_number": "661-829-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHARMACY SOCAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER PHARMACY SOCAL LLC",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "JARJUR",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "DIRECTOR OF LTC",
        "authorized_official_telephone_number": "661-829-4250",
        "authorized_official_credential": "PHARMD, MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pharmacy Solutions Laguna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paul L. Prendiville, M.D.
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• William G Preston, MD
• Carly Preusse
• Joseph P Preziosi, DC

• Long Term Care Pharmacy in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.