Premier Compounding Center LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHA00567 Issued in RI

Legal business name

PREMIER COMPOUNDING CENTER LLC

Doing business as

Premier Compounding Center

Practice address

137 Chase Rd
Portsmouth, RI 02871-3243

Phone

(401) 293-3999

Fax

(401) 293-3912

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Rene St. Laurent

Title

Owner

Phone

(401) 293-3999

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Premier Compounding Center Doing business as

Locations

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1659761914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 CHASE RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028713243",
            "telephone_number": "401-293-3999",
            "fax_number": "401-293-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 CHASE RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028713243",
            "telephone_number": "401-293-3999",
            "fax_number": "401-293-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMPOUNDING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "ST. LAURENT",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-293-3999"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "RI",
            "license": "PHA00567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149794",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• Compounding Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.