Premier Pharmacy Norcal LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PREMIER PHARMACY NORCAL LLC

Practice address

4600 Northgate Blvd Ste 120
Sacramento, CA 95834-1159

Phone

(661) 445-9617

NPI assigned

Apr 19, 2023

Organization subpart

Yes

Parent organization

PREMIER PHARMACY SOLUTIONS NORCAL LLCAs reported in NPPES

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

Authorized official

Name

Nadine Jarjur, PHARMD, MBA

Title

Director of LTC

Phone

(916) 520-0934

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Premier Pharmacy Solutions Sacramento Doing business as

Tax ID family

Premier Pharmacy Norcal LLC2 organizations share this tax ID, including this one

Part of

Premier Pharmacy Norcal LLC

Other organizations with this tax ID 1

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

• Premier Pharmacy Norcal LLC

  • Long Term Care Pharmacy
  • Bakersfield, CA
  • NPI 1205523370
  NPD tax ID

Locations

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1871280933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 NORTHGATE BLVD STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 NORTHGATE BLVD STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341159",
            "telephone_number": "661-445-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHARMACY NORCAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER PHARMACY SOLUTIONS NORCAL LLC",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "JARJUR",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "DIRECTOR OF LTC",
        "authorized_official_telephone_number": "916-520-0934",
        "authorized_official_credential": "PHARMD, MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59052",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pharmacy Solutions Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Healthcare Services, LLC
• Premier Home Health Care & Hospice, Inc
• Premier Imaging Solutions Norcal LLC
• Premier Medical Supply, Inc.
• Premier Pharmaceutical Services Inc
• Prenatal Diagnosis of Northern California Medical Group Inc.
• Geoffrey Sadao Prenter, LCSW
• Robert Alexander Prentice, PH.D.
• Christopher Stewart Prentiss, RADT -I
• Preparing People for Success

• Long Term Care Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.