Premier Infusion LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

PREMIER INFUSION LLC

Practice address

508 Hurffville Crosskeys Rd Ste 16
Sewell, NJ 08080-2730

Phone

(856) 344-7982

Fax

(856) 344-7984

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Antoinette Edmondson

Title

Administrator

Phone

(856) 344-7982

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1336795236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HURFFVILLE CROSSKEYS RD STE 16",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802730",
            "telephone_number": "856-344-7982",
            "fax_number": "856-344-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HURFFVILLE CROSSKEYS RD STE 16",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802730",
            "telephone_number": "856-344-7982",
            "fax_number": "856-344-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-344-7982"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Clinic/Center in Sewell, NJ
• Providers in Sewell, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.