PREMIERE PHARMACY INC. (NPI# 1730598657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730598657 |
| Entity Type | Organization |
| Organization Name | PREMIERE PHARMACY INC. |
| Practice Address |
4153 Flat Shoals Pkwy Bldg A Suite 101 Decatur GA 30034-4106 |
| Practice Telephone | 7703169815 |
| Mailing Telephone | 7703169815 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | MR. LEROY BANKS (PHARMACIST) |
| Authorized Official Telephone | 7703169815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | GA | Pharmacy Service Providers |
| Street Address |
4153 FLAT SHOALS PKWY BLDG A SUITE 101 |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992883201 | Harvey Bowen Leslie Sr. | Specialist | 4153 Flat Shoals Pkwy, Building A Suite 104, Decatur, GA 30034-4106 | 2006-11-02 |
| 1558807578 | Courtney Mitchell | Speech-Language Pathologist | 4153 Flat Shoals Pkwy, Building C Suite 300a, Decatur, GA 30034-4106 | 2017-01-14 |
| 1366988669 | Candace Gordon | Speech-Language Pathologist | 4153 Flat Shoals Pkwy, Building C Suite 300a, Decatur, GA 30034-4106 | 2017-01-10 |
| 1356899330 | Miesha Jenkins | Speech-Language Pathologist | 4153 Flat Shoals Pkwy, Suite 300a, Building C, Decatur, GA 30034-4106 | 2016-09-19 |
| 1538512637 | Devin Brown | Speech-Language Pathologist | 4153 Flat Shoals Pkwy, Bldg C Suite 300a, Decatur, GA 30034-4106 | 2016-07-13 |
| 1902261274 | Complete Health Medical Center | Clinic/Center | 4153 Flat Shoals Pkwy, Bldg A Ste 104, Decatur, GA 30034-4106 | 2015-12-30 |
| 1487041745 | Physical Wellness Group, LLC | Specialist | 4153 Flat Shoals Pkwy, Bldg A, Decatur, GA 30034-4106 | 2015-04-23 |
| 1770982035 | Stepping Stones To Success, LLC | Speech-Language Pathologist | 4153 Flat Shoals Pkwy, Building C. Suite 300 A, Decatur, GA 30034-4106 | 2014-08-21 |
| 1114369113 | Danica Landry | Counselor | 4153 Flat Shoals Pkwy, 320-e, Decatur, GA 30034-4106 | 2013-07-19 |
| 1629323977 | Victor Young Leslie | Anesthesiology | 4153 Flat Shoals Pkwy, Building A Suite 102, Decatur, GA 30034-4106 | 2012-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515927 | Kristin Lynne Mcdonald | Pharmacist | 82 Deerfield Ln, Decatur, MS 39327-8977 | 2020-07-06 |
| 1629699699 | Samantha Camille Ricks | Pharmacist | 2641 E College Ave Apt 736, Decatur, GA 30030-3380 | 2020-04-30 |
| 1447886056 | Sawapha Verduci | Pharmacist | 1375 Thomas Rd, Decatur, GA 30030-4622 | 2020-03-14 |
| 1386280949 | Kelsie Burner | Pharmacist | 1818 Airport Plz, Decatur, IL 62521-9717 | 2019-11-19 |
| 1699319541 | Thao Trinh Nguyen | Pharmacist | 1130 N Jamestown Rd Apt 305, Decatur, GA 30033-7118 | 2019-11-04 |
| 1770067506 | Abdul Wahab | Pharmacist | 3517 Clubhouse Cir E Apt A, Decatur, GA 30032-2006 | 2018-09-18 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1639604408 | Mahesh Patel | Pharmacist | 2579 Lawrenceville Hwy, Decatur, GA 30033-3206 | 2017-04-28 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1831568278 | Omeka Clark | Pharmacist | 1670 Clairmont Road (119), Decatur, GA 30033 | 2015-09-16 |
| Find all providers in DECATUR | ||||
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| 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.