Premier Pharmacy and Wellness Center

Primary specialty

PharmacyTaxonomy code 333600000X

License

13131 Issued in NC

Legal business name

PREMIER PHARMACY AND WELLNESS CENTER

Doing business as

Premier Pharmacy and Wellness Center

Practice address

2557 W Franklin Blvd
Gastonia, NC 28052-1249

Phone

(704) 496-9182

Fax

(704) 496-9903

NPI assigned

Jan 2, 2017

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martez Lavard Prince, PHARMDNPI 1407158629

Title

Owner

Phone

(704) 496-9182

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Premier Pharmacy and Wellness Center Doing business as

Tax ID family

Premier Pharmacy and Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Pharmacy and Wellness Center LLC

  • Long Term Care Pharmacy
  • Charlotte, NC
  • NPI 1982236584
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martez Lavard Prince, PHARM.D.

  • Pharmacist
  • Charlotte, NC
  • NPI 1407158629
  NPD (past) Authorized official
• Evelyn Nicole Alexander Pauling, MBA, PHARMD

  • Pharmacist
  • Gastonia, NC
  • NPI 1346760766
  NPD (past)

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1760927602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 MONROE RD",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057532",
            "telephone_number": "704-496-9182",
            "fax_number": "704-496-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 W FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521249",
            "telephone_number": "704-496-9182",
            "fax_number": "704-496-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHARMACY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MARTEZ",
        "authorized_official_middle_name": "LAVARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-496-9182",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "13131",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pharmacy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Pharmacy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Canaan Prater, D.O.
• Christopher Allen Prato, MD
• Tanya Ann Pratt-Doctry, PA-C
• Preeminent Home Health LLC
• Premier Integrated Health
• Premise Health of North Carolina Medical PC (DTNA - Gastonia)
• Premise Health of North Carolina Medical, P.C (DTNA - Gastonia Occ)
• Prescriptions Plus Inc (Prescriptions Plus)
• Lisa Austin Presnell, RNC-OB
• Cheyenne Nicole Pressley

• Pharmacy in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.