NPIMap

Organization Active NPI

Premier Compounding LLC

  • Compounding Pharmacy
  • Bellevue, NE
National Provider Identifier
1285403121
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
PREMIER COMPOUNDING LLC
Practice address
2206 Longo Dr Ste 209
Bellevue, NE 68005-2977
Phone
(402) 595-0540
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
James A Sledge, PHARM.D.NPI 1669870648
Title
Owner/RPH
Phone
(402) 595-0540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

2206 Longo Dr Ste 209
Bellevue, NE 68005-2977

Mailing address

2206 Longo Dr Ste 209
Bellevue, NE 68005-2977
Phone (402) 595-0540

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1285403121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 LONGO DR STE 209",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052977",
            "telephone_number": "402-595-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 LONGO DR STE 209",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052977",
            "telephone_number": "402-595-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "SLEDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "402-595-0540",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.