Premier Med Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50857 Issued in CA

Legal business name

PREMIER MED SERVICES INC

Practice address

11207 S la Cienega Blvd Ste 102
Los Angeles, CA 90045-6112

Phone

(855) 258-6352

Fax

(855) 258-6353

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Deyda Cuellar

Title

Office Manager

Phone

(855) 258-6352

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• PREMIER MED SERVICES INC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1972864460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11207 S LA CIENEGA BLVD",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456112",
            "telephone_number": "855-258-6352",
            "fax_number": "855-258-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11207 S LA CIENEGA BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456112",
            "telephone_number": "855-258-6352",
            "fax_number": "855-258-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MED SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "DEYDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "855-258-6352"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50857",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER MED SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Healthcare Medical Group
• Premier Hematology Oncology Medical Group Inc
• Premier Infusion and Healthcare Services, Inc.
• Premier Management Association
• Premier Marketing Resources Corp
• Premier Nephrology Medical Group, Inc.
• Premier Point Medical Group
• Premier Surgical Pavilion of la
• Premier Wound Care of Los Angeles
• Premiere Clinical Laboratory,Inc.

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.