NPIMap

Organization Active NPI

Premiere Pharmacy Inc.

  • Pharmacist
  • Decatur, GA
National Provider Identifier
1730598657
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
PREMIERE PHARMACY INC.
Practice address
4153 Flat Shoals Pkwy
BLDG a Suite 101
Decatur, GA 30034-4106
Phone
(770) 316-9815
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Mr. Leroy Banks
Title
Pharmacist
Phone
(770) 316-9815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X GA Primary

Addresses

Primary practice location

4153 Flat Shoals Pkwy
BLDG a Suite 101
Decatur, GA 30034-4106

Mailing address

4153 Flat Shoals Pkwy
BLDG a Suite 101
Decatur, GA 30034-4106
Phone (770) 316-9815

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1730598657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PKWY",
            "address_2": "BLDG A SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "770-316-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PKWY",
            "address_2": "BLDG A SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "770-316-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "770-316-9815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.