Premier Pharmacy and Wellness Center LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PREMIER PHARMACY AND WELLNESS CENTER LLC

Practice address

3010 Monroe Rd Ste 101
Charlotte, NC 28205-7533

Phone

(704) 496-9182

Fax

(704) 496-9903

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Martez Lavard Prince, PHARMD.NPI 1407158629

Title

Owner

Phone

(704) 496-9182

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Premier Pharmacy and Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Pharmacy and Wellness Center

  • Pharmacy
  • Gastonia, NC
  • NPI 1760927602
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martez Lavard Prince, PHARM.D.

  • Pharmacist
  • Charlotte, NC
  • NPI 1407158629
  NPD (past) Authorized official

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1982236584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 MONROE RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057533",
            "telephone_number": "704-496-9182",
            "fax_number": "704-496-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 MONROE RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057533",
            "telephone_number": "704-496-9182",
            "fax_number": "704-496-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHARMACY AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MARTEZ",
        "authorized_official_middle_name": "LAVARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-496-9182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mprince@yourwellnesskey.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CHARLOTTE",
            "address_1": "3010 Monroe Rd Ste 101",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282057533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Premise Health of North Carolina Medical PC (Premise Health Clinic)

• Long Term Care Pharmacy in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.