Premium Ppe, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIUM PPE, LLC

Practice address

105 Galileo Dr
Buffalo, NY 14221-2776

Phone

(716) 261-7479

NPI assigned

Jan 3, 2022

Organization subpart

No

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

Authorized official

Name

Jason Armstrong

Title

Member

Phone

(716) 261-7479

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1972264984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GALILEO DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142212776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GALILEO DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142212776",
            "telephone_number": "716-261-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM PPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-261-7479"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexsandra Prawak-Pasieka, M.D.
• Myron Y Prawak, DO
• Theodore P Prawak, M.D.
• Premier Health Partners
• Premier Pharmacy LLC
• Nora Prendergast, PHARMD
• Jeremiah Andrew Prentice
• Presbyterian Senior Care of Western New York, Inc.
• Presbyterian Senior Care of Western New York, Inc.
• Gina Marie Prescott, PHARM.D.

• Clinic/Center in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.