Premier Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24366 Issued in FL

Legal business name

PREMIER PHARMACY LLC

Practice address

4307 N Armenia Ave
Tampa, FL 33607-6403

Phone

(813) 873-7470

Fax

(813) 874-1416

NPI assigned

Dec 17, 2009

Last updated

Aug 4, 2011By 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

Mrs. Barbara Brito

Title

Manager

Phone

(813) 384-0742

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Premier Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Premier Pharmacy LLC

  • Community/Retail Pharmacy
  • Tampa, FL
  • NPI 1063121663
  NPD tax ID

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1508195769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076403",
            "telephone_number": "813-873-7470",
            "fax_number": "813-874-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076403",
            "telephone_number": "813-873-7470",
            "fax_number": "813-874-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "BRITO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-384-0742",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PH24366",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier OB/GYN
• Premier Orthopedics, Inc.
• Premier Pediatric Therapy Centers, Inc.
• Premier Pharma Services Inc (Rite Rx Care)
• Premier Pharmacy LLC
• Premier Psychological Services, PL
• Premier Racing Institue (Precision Performance Physical Therapy)
• Premier Rehab Therapy Center Inc
• Premise Health of Florida Medical PA (Capital One Be Well Health Center at Tampa)
• Premise Health of Florida Medical PA (Humana Health & Well-being Center)

• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.