Active NPI
Premier Kids Care Inc
Doing business as Premier Care
- Community/Retail Pharmacy
- Hollywood, FL
National Provider Identifier
1902842545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH21667
- Legal business name
- PREMIER KIDS CARE INC
- Doing business as
- Premier Care
- Practice address
- 601 N 21St Ave
Hollywood, FL 33020-4049 - Phone
- (888) 892-9001
- Fax
- (866) 810-4021
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joy A McMillan, RN
- Title
- President/Ceo
- Phone
- (888) 892-9001
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH21667 | FL | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
601 N 21St Ave
Hollywood, FL 33020-4049
Mailing address
221 Plaza Dr
Monroe, GA 30655-3184
Phone (888) 892-9001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031166900 | Medicaid | FL | |
| 2005691 | Other | PK |
Other names 1
- PREMIER CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121022000755 | FL | DME Supplier - Pharmacy | 3476762741 | Practice locations: Hollywood, FL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Premier Care
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1447321674
3476762741
-
dba Premier Care
- Community/Retail Pharmacy
- Monroe, GA
- NPI 1548237563
3476762741
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Premier Care | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Premier Care
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1902842545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 PLAZA DR",
"city": "MONROE",
"state": "GA",
"postal_code": "306553184",
"telephone_number": "888-892-9001",
"fax_number": "866-810-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N 21ST AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204049",
"telephone_number": "888-892-9001",
"fax_number": "866-810-4021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER KIDS CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MCMILLAN",
"authorized_official_first_name": "JOY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "888-892-9001",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH21667",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031166900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2005691",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PREMIER CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hollywood, FL
- Precision Radiation Oncology, LLC
- Preferred Care at Home of South Broward
- Premier Care FL Transportation Inc.
- Premier Diagnostic Centers LLC
- Premier Home Rehab (Premier Home Rehab, LLC)
- Premier Medical Supply LLC
- Premier Mobile Health Solutions, LLC
- Premier Pain and Wellness, LLC
- Premier Total Healthcare Inc
- Premiere Healthcare Management (Baypointe Terrace)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.