PREMIERE HEALTHCARE LLC


Address: 513 N Grand Ave, Doniphan, MO 63935-1405
Phone: 5739963784

PREMIERE HEALTHCARE LLC (NPI# 1225359664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225359664
Entity Type Organization
Organization Name PREMIERE HEALTHCARE LLC
Practice Address 513 N Grand Ave
Doniphan
MO 63935-1405
Mailing Address 513 N Grand Ave
Doniphan
MO 63935
Practice Telephone 5739963784
Mailing Telephone 5739963784
Enumeration Date 2010-06-21
Last Update Date 2010-06-21
Authorized Official Name MR. PHILLIP KEITH WILKINS SR. (PHARMACY OWNER)
Authorized Official Telephone 8709319263
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770929366 Premiere Healthcare LLC Durable Medical Equipment & Medical Supplies 214 W Main St, Malden, MO 63863-2114 2013-05-22
1639466881 Premiere Healthcare LLC Pharmacy 513b N Grand Ave, Doniphan, MO 63935-1405 2011-07-07
1811284060 Premiere Healthcare LLC Pharmacy 513b N Grand Ave, Doniphan, MO 63935-1405 2011-07-07
1215258652 Premiere Healthcare LLC Durable Medical Equipment & Medical Supplies 513 N Grand Ave, Doniphan, MO 63935-1405 2010-06-21

Office Location

Street Address 513 N GRAND AVE
City DONIPHAN
State MO
Zip Code 63935-1405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366774374 Super D Drugs Acquisition Co. Durable Medical Equipment & Medical Supplies 513 N Grand Ave, Doniphan, MO 63935-1405 2010-02-02
1215258652 Premiere Healthcare LLC Durable Medical Equipment & Medical Supplies 513 N Grand Ave, Doniphan, MO 63935-1405 2010-06-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235647629 Reorganized School Dist 4 Local Education Agency (LEA) Hcr 7, Box 51, Doniphan, MO 63935 2018-01-19
1144737206 Amy Jo Harris Licensed Practical Nurse 209 W Highway St, Doniphan, MO 63935 2018-01-10
1518470970 Freds of Doniphan Inc Pharmacy 100 H&s Drive, Doniphan, MO 63935 2017-11-08
1053706390 Amazing In Home Services, LLC In Home Supportive Care 106 Lafayette Street, Doniphan, MO 63935 2015-04-03
1447649595 Keshia J Russell Speech-Language Pathologist 1002 Elm Street, Doniphan, MO 63935 2015-01-13
1720327596 Jessica L Eddington Physical Therapist 1015 Grand Street, Doniphan, MO 63935 2013-02-13
1700150927 Ripley County Family Resource Center Community/Behavioral Health 204 Summit St., Doniphan, MO 63935 2012-03-06
1205107810 Ripley County Family Resource Center Community/Behavioral Health 204 Summit, Doniphan, MO 63935 2012-01-13
1386825248 Shopko Stores Operating Co LLC Pharmacy 111 Leroux Dr, Doniphan, MO 63935 2007-11-20
1104010081 American Consumer Directed Services, L.L.C. Clinic/Center Rr 3, Box 2199, Doniphan, MO 63935 2007-09-04
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386825248 Shopko Stores Operating Co LLC Pharmacy 111 Leroux Dr, Doniphan, MO 63935 2007-11-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699374629 Curators of The University of Missouri Pharmacy 7115 East St. Charles Road, Columbia, MO 65202 2020-10-21
1376141143 Phillips Pharmacy, LLC Pharmacy 7278 State Highway 14 E, Sparta, MO 65753-9345 2020-10-14
1013527761 Rpcs, Inc. Pharmacy 18128 State Hwy 13, Branson West, MO 65737 2020-08-07
1205446184 Rpcs, Inc. Pharmacy 200 Southtowne Blvd, Hollister, MO 65672-9610 2020-08-05
1912517897 Rpcs, Inc. Pharmacy 1447 State Highway 248 Ste J, Branson, MO 65616-8161 2020-08-05
1245849801 Rpcs Inc Pharmacy 163 W Old Mill Rd, Fair Grove, MO 65648-7918 2020-07-29
1760005219 Meta Pharmacy Solutions Pharmacy 108 Triad Ctr W, O Fallon, MO 63366-7541 2020-05-19
1437778172 Harps Food Stores, Inc Pharmacy 707 Specialty Dr, Dexter, MO 63841-2718 2020-04-13
1013540038 Auburn Pharmacy Inc Pharmacy 810 W 35th St Ste 101, Higginsville, MO 64037-1865 2020-02-18
1801428495 Scpg Missouri LLC Pharmacy 501 South Madison Ave, Suite S, Webb City, MO 64870 2020-02-11
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Competitor

Search similar providers

City DONIPHAN
Zip Code 63935

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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