Organization Active NPI

Premier Pharmacy Inc

  • Community/Retail Pharmacy
  • Kingsport, TN
National Provider Identifier
1386085132
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5209 Issued in TN
Legal business name
PREMIER PHARMACY INC
Doing business as
Premier Pharmacy Inc
Practice address
109 Jack White Dr
Kingsport, TN 37664-2364
Phone
(423) 245-1022
Fax
(423) 245-6391
NPI assigned
Jul 9, 2013
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Elizabeth Ingram
Title
Secretary/Treasurer
Phone
(423) 245-1022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5209 TN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

109 Jack White Dr
Kingsport, TN 37664-2364

Mailing address

PO Box 3563
Kingsport, TN 37664-0563
Phone (423) 245-1022

Other identifiers 1

IdentifierTypeStateIssuer
2141171OtherPK

Other names 1

  • Premier Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1386085132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3563",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376640563",
            "telephone_number": "423-245-1022",
            "fax_number": "423-245-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 JACK WHITE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642364",
            "telephone_number": "423-245-1022",
            "fax_number": "423-245-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "423-245-1022"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5209",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.