Organization Active NPI

Premium Healthcare, LLC

Doing business as Premium Health Care Pharmacy

  • Compounding Pharmacy
  • Miami, FL
National Provider Identifier
1932772613
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
PREMIUM HEALTHCARE, LLC
Doing business as
Premium Health Care Pharmacy
Practice address
2400 SW 69TH Ave Ste 120
Miami, FL 33155-2947
Phone
(305) 413-5070
Fax
(305) 859-3482
NPI assigned
Jul 21, 2021
Last updated
Jul 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Ms. Karen Sue Schindell, PHARMACIST
Title
Pharmacy Manager
Phone
(305) 413-5070

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

2400 SW 69TH Ave Ste 120
Miami, FL 33155-2947

Mailing address

2400 SW 69TH Ave Ste 120
Miami, FL 33155-2947
Phone (305) 413-5070

Other identifiers 2

IdentifierTypeStateIssuer
PH33479MedicaidFL
PH33479OtherFLINSURANCE PROVIDERS

Other names 1

  • Premium Health Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2400 SW 69th Ave
Ste 120
Miami, FL 33155
Phone (305) 413-5070

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1932772613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SW 69TH AVE STE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552947",
            "telephone_number": "305-413-5070",
            "fax_number": "305-859-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SW 69TH AVE STE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552947",
            "telephone_number": "305-413-5070",
            "fax_number": "305-859-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHINDELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-413-5070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH33479",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PROVIDERS",
            "identifier": "PH33479",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Health Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.