Premier Pharmacy & Wellness Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PREMIER PHARMACY & WELLNESS INC

Practice address

516 Beckley Crossing SHPG Ctr
Beckley, WV 25801-7110

Phone

(681) 207-8510

Fax

(833) 383-0026

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

Kimberly Ann Miller, PHARMACISTNPI 1659734762

Title

President/Pharmacist

Phone

(681) 207-8510

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Pharmacy & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Kimberly Miller

  • Pharmacist
  • Beckley, WV
  • NPI 1659734762
  NPD Authorized official
• Kriston Ellis

  • Pharmacist
  • Beckley, WV
  • NPI 1194188037
  NPD

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1669026621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BECKLEY CROSSING SHPG CTR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017110",
            "telephone_number": "681-207-8510",
            "fax_number": "833-383-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BECKLEY CROSSING SHPG CTR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017110",
            "telephone_number": "681-207-8510",
            "fax_number": "833-383-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHARMACY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "681-207-8510",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669026621",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pharmacy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Pharmacy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Promise Prather
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• Praxis Corporation
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• Precision Wellness LLC
• Prestige Pharmacy L.L.C
• Andrew Price
• Bernetta Allen Price
• Emma Price
• Jane Price

• Community/Retail Pharmacy in Beckley, WV
• Providers in Beckley, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.