Premier Kids Care Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24038 Issued in TX

Legal business name

PREMIER KIDS CARE INC

Doing business as

Premier Care

Practice address

3148 Park Center Dr
Tyler, TX 75701-8482

Phone

(888) 892-9001

Fax

(866) 810-4021

NPI assigned

Nov 10, 2006

Last updated

Nov 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joy A McMillan

Title

President Ceo

Phone

(770) 207-9001

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Premier Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Premier Kids Care Inc

  dba Premier Care

  • Community/Retail Pharmacy
  • Hollywood, FL
  • NPI 1902842545

  3476762741

  Same PAC ID
• Premier Kids Care, Inc.

  dba Premier Care

  • Community/Retail Pharmacy
  • Monroe, GA
  • NPI 1548237563

  3476762741

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Premier Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Kids Care Inc

  dba Premier Care

  • Community/Retail Pharmacy
  • Hollywood, FL
  • NPI 1902842545
  NPD tax ID
• Premier Kids Care, Inc.

  dba Premier Care

  • Community/Retail Pharmacy
  • Monroe, GA
  • NPI 1326314733
  NPD tax ID
• Premier Kids Care, Inc.

  dba Premier Care

  • Community/Retail Pharmacy
  • Monroe, GA
  • NPI 1548237563
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elena Sirbu, RPH

  • Pharmacist
  • Austin, TX
  • NPI 1972996437
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1447321674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PLAZA DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306553184",
            "telephone_number": "770-207-9001",
            "fax_number": "770-207-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3148 PARK CENTER DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018482",
            "telephone_number": "888-892-9001",
            "fax_number": "866-810-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER KIDS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "770-207-9001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "24038",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24038",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "24038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145532",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ritesh R Prasad, MD
• Carey G Prater, O.D.
• Scott Clifford Pratt, PT, DPT
• Preddy Chiropractic PC
• Allan George Preddy, DC
• Premier Nephrology of Tyler
• Premise Health of Texas Medical, P.a (Goodyear Family Medical Center)
• Present Mind Counseling Center, PLLC
• Preston E Harrison Jr MD PA
• Annette Preston

• Community/Retail Pharmacy in Tyler, TX
• Providers in Tyler, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.