Premiere Healthcare LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIERE HEALTHCARE LLC

Practice address

214 W Main St
Malden, MO 63863-2114

Phone

(573) 996-3784

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Phillip K Wilkins Sr.

Title

Pharmacy Owner

Phone

(573) 996-3784

Specialties & licenses 5

Addresses

Other names 1

• Malden Pharmacy & Home Medical Equipment Doing business as

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1770929366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639350573",
            "telephone_number": "573-996-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638632114",
            "telephone_number": "573-996-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "573-996-3784",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malden Pharmacy & Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan Lamanilao Ozbent
• Taylor Phelps
• Poplar Bluff Regional Medical Center LLC
• Poplar Bluff Regional Medical Center, LLC
• Natalie Powell
• Jeannette G Provance
• Rehab Outreach, L.L.C.
• Rita D. Knight-Ritchie Dba Friends in-Home Services
• Rita Knight-Ritchie Dba Friends in-Home Services
• Lakeshia Rochelle Robinson

• All providers in Malden, MO
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.