Premier Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009638 Issued in MI

Legal business name

PREMIER CARE PHARMACY INC

Doing business as

Premier Care Pharmacy

Practice address

23131 Woodward Ave
Ferndale, MI 48220-1360

Phone

(248) 544-4500

Fax

(248) 544-4585

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Saed Suede

Title

Owner

Phone

(313) 779-4131

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Premier Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1326331711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23131 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201360",
            "telephone_number": "248-544-4500",
            "fax_number": "248-544-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23131 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201360",
            "telephone_number": "248-544-4500",
            "fax_number": "248-544-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "SUEDE",
        "authorized_official_first_name": "SAED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-779-4131"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130607",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.