Premiere Healthcare LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

2010023102 Issued in MO

Legal business name

PREMIERE HEALTHCARE LLC

Doing business as

Medical Center Pharmacy

Practice address

513B N Grand Ave
Doniphan, MO 63935-1405

Phone

(573) 996-3784

Fax

(573) 996-5275

NPI assigned

Jul 7, 2011

Last updated

Jul 7, 2011By 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

Dr. Phillip K Wilkins Sr., PHARM D.NPI 1700173051

Title

Owner/Pharmacist

Phone

(573) 996-3784

Specialties & licenses 1

Addresses

Other names 1

• Medical Center Pharmacy Doing business as

Practitioners 1

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.

• Phillip Wilkins Sr., PHARM D.

  • Pharmacist
  • Doniphan, MO
  • NPI 1700173051
  Authorized official Same address or phone

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1811284060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513B N GRAND AVE",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351405",
            "telephone_number": "573-996-3784",
            "fax_number": "573-996-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513B N GRAND AVE",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351405",
            "telephone_number": "573-996-3784",
            "fax_number": "573-996-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "573-996-3784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2010023102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meyyappan Palaniappan, MD
• Christopher R Pinderski, MD
• Premiere Healthcare LLC (Medical Center Pharmacy)
• Premiere Healthcare LLC
• Premiere Healthcare LLC (Medical Center Pharmacy)
• Jacob Pridy
• Kevin Raposo, QBHP
• Rehabcare
• Reorganized School Dist 4 (Ripley Co R-IV School District)
• Ripley County Ambulance District

• Pharmacy in Doniphan, MO
• Providers in Doniphan, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.