Premier Pharmacy Group LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PREMIER PHARMACY GROUP LLC

Practice address

600 Corporation Dr Ste 114
Pendleton, IN 46064-8300

Phone

(833) 464-9129

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Corressell, RPH

Title

Coo/Pharmacy Director

Phone

(812) 430-0192

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mike Epstein

  • Long Term Care Pharmacy
  • Colorado Springs, CO
  • NPI 1194002527
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1558079855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9656 PRAIRIE SMOKE DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604307",
            "telephone_number": "812-430-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CORPORATION DR STE 114",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648300",
            "telephone_number": "833-464-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHARMACY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "CORRESSELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "COO/PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "812-430-0192",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Pendleton, IN
• Providers in Pendleton, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.