Premier Health Services

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PREMIER HEALTH SERVICES

Practice address

1238 Springfeild Ave
Irvington, NJ 07111

Phone

(973) 372-1313

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Twumasi Ampofo

Title

President

Phone

(973) 372-1313

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• VICTORY PHARMACY INC Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIEDAD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609915487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 SPRINGFEILD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 SPRINGFEILD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-372-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AMPOFO",
        "authorized_official_first_name": "TWUMASI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-372-1313"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "RS00632300",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3145821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Usha Polavarapu, DDS
• Ernest Leonard Polite, MSW, LCADC, CCS, CCP
• Precious Home Inc.
• Premier NP Care LLC
• Premium Residential Living LLC
• Premium Residential Services
• Preshman LLC
• Prestige Care LLC

• Community/Retail Pharmacy in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.