PREMIER KIDS CARE INC (NPI# 1902842545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902842545 |
| Entity Type | Organization |
| Organization Name | PREMIER KIDS CARE INC |
| Other Organization Name | PREMIER CARE |
| Practice Address |
601 N 21st Ave Hollywood FL 33020-4049 |
| Mailing Address |
221 Plaza Dr Monroe GA 30655-3184 |
| Practice Telephone | 8888929001 |
| Practice Fax Number | 8668104021 |
| Mailing Telephone | (888) 892-9001 |
| Mailing Fax Number | 8668104021 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | JOY A MCMILLAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8888929001 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH21667 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2005691 | 01 | |
| FL | 031166900 | 05 |
| Other Name | Type Code |
|---|---|
| PREMIER CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447321674 | Premier Kids Care Inc | Durable Medical Equipment & Medical Supplies | 2013 Wells Branch Pkwy # 111, Austin, TX 78728-6900 | 2006-11-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PREMIER KIDS CARE INC. | 221 Plaza Dr, Monroe, Georgia 30655 |
| Street Address |
601 N 21ST AVE |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-4049 |
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| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
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| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
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| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
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| 1396837407 | Broward Pharmacy & Discount Store Inc | Pharmacy | 2323 N 60 Avenue, Hollywood, FL 33021 | 2006-09-28 |
| 1770687758 | Holiday Cvs LLC | Pharmacy | 6665 Taft St, Hollywood, FL 33024-4010 | 2006-09-12 |
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| 1336243203 | Holiday Cvs LLC | Pharmacy | 901 N Federal Hwy, Hollywood, FL 33020-3537 | 2006-09-12 |
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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.