Premier RX Repacks, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH28900 Issued in FL

Legal business name

PREMIER RX REPACKS, LLC

Practice address

2000 Pga Blvd Ste 5508
Palm Beach Gardens, FL 33408-2726

Phone

(561) 899-4429

Fax

(855) 367-6979

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Tracy Christian

Title

Pres/Ceo

Phone

(561) 899-4429

Specialties & licenses 1

Addresses

Other names 1

• United LTC Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1922487867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PGA BLVD STE 5508",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334082726",
            "telephone_number": "561-899-4429",
            "fax_number": "855-367-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PGA BLVD STE 5508",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334082726",
            "telephone_number": "561-899-4429",
            "fax_number": "855-367-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RX REPACKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "561-899-4429"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH28900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.