PREMIER HEALTH SERVICES (NPI# 1609915487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609915487 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTH SERVICES |
| Other Organization Name | VICTORY PHARMACY INC |
| Practice Address |
1238 Springfeild Ave Irvington NJ 07111 |
| Practice Telephone | 9733721313 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TWUMASI AMPOFO (PRESIDENT) |
| Authorized Official Telephone | 9733721313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | RS00632300 | NJ | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3145821 | 01 |
| Other Name | Type Code |
|---|---|
| VICTORY PHARMACY INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568501195 | Premier Health Services | Home Health | 3050 Aster St, Lake Charles, LA 70601-8830 | 2007-02-06 |
| 1407168487 | Premier Health Services | Chiropractor | 8577 Columbine Rd, Eden Prairie, MN 55344-7662 | 2010-07-08 |
| 1720104201 | Premier Health Services | Specialist | 7200 W Camino Real, Suite 300, Boca Raton, FL 33433-5511 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PREMIER HEALTH SERVICES | |
| Oregon Corporations, Companies and Business Names | PREMIER HEALTH SERVICES | 3000 Market Street Ne, Suite 541, Salem, OR 97304 |
| Iowa Business Entities | PREMIER HEALTH SERVICES LLC | 6750 Westown Pkwy, Ste 110, West Des Moines, IA 50266 |
| Connecticut Business Registrations | PREMIER HEALTH SERVICES, INC. | 4800 Nw Second Avenue, Suite 6, Boca Raton, FL 33431 |
| Street Address |
1238 SPRINGFEILD AVE |
| City | IRVINGTON |
| State | NJ |
| Zip Code | 07111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871163 | Le Choix Home Care LLC | Home Health | 1395-1399 Clinton Ave, Irvington, NJ 07111 | 2020-08-17 |
| 1528532447 | All America Medical Day Care | Custodial Care Facility | 141 Coit St, Irvington, NJ 07111 | 2019-01-14 |
| 1548737240 | Irvington Adult Day Care Center | Clinic/Center | 62-70 Howard Street, Irvington, NJ 07111 | 2018-10-31 |
| 1245754084 | Soul House Cruber Wellness Center | Counselor | 1144 Clinton Avenue, Irvington, NJ 07111 | 2017-08-02 |
| 1689194094 | Anthony Ijehsedeh | Nurse Practitioner | 12 Krotik Place, Irvington, NJ 07111 | 2017-06-27 |
| 1467993246 | Sia Kendema | Respite Care | 102 Paine Avenue, Irvington, NJ 07111 | 2017-03-14 |
| 1316482078 | Walgreen Co | Pharmacy | 810 Springfield Ave, Irvington, NJ 07111 | 2017-01-04 |
| 1679023915 | Lyons Pharmacy | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2016-10-11 |
| 1952759276 | Sabreehouse | Community/Behavioral Health | 74 Welland Avenue, Irvington, NJ 07111 | 2016-05-26 |
| 1447624184 | Marius Nzo Yonkeu | Pharmacist | 19 Bruen Ave Apt C1, Irvington, NJ 07111 | 2015-11-18 |
| Find all providers in zip 07111 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574742 | Wellness Plus LLC | Pharmacy | 1076 Springfield Ave, Unit 1, Irvington, NJ 07111-2467 | 2017-01-08 |
| 1679023915 | Lyons Pharmacy | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2016-10-11 |
| 1174805774 | Chancellor Pharmacy | Pharmacy | 894 Chancellor Ave, Irvington, NJ 07111-1214 | 2011-09-09 |
| 1629304183 | Bayou Pharmacy LLC | Pharmacy | 12855 Padgett Switch Rd, Irvington, AL 36544-4015 | 2009-10-19 |
| 1043384563 | Kings Choice Pharmacy Inc | Pharmacy | 854 Stuyvesant Ave, Irvington, NJ 07111-1800 | 2006-11-17 |
| 1891721486 | Save Rite Drugs Inc | Pharmacy | 14020 E Highway 60, Irvington, KY 40146-7166 | 2006-06-24 |
| 1063487478 | Maple Gardens Pharmacy | Pharmacy | 3 Marshall St, Irvington, NJ 07111-3622 | 2006-02-20 |
| 1073150116 | Shayanam LLC | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2019-12-09 |
| 1497852321 | Nnb Inc | Pharmacy | 50 Union Ave, Irvington, NJ 07111-3262 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495544 | Medilink Rxcare Hammonton, LLC | Pharmacy | 44 S White Horse Pike, Hammonton, NJ 08037-1845 | 2020-10-23 |
| 1770193757 | Rvl Pharmacy | Pharmacy | 2500 Main St Ste 10, Sayreville, NJ 08872-1473 | 2020-08-05 |
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PREMIER HEALTH SERVICES.
| 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.