Active NPIOrganization

Premier Specialty Pharmacy LLC

Pharmacy in Hoboken, New Jersey

NPI Number1073069779
Practice location
101 Park Ave, Ste 2, Hoboken, NJ 07030-3795
Fax
201-683-8648
Last updated
April 11, 2017

Premier Specialty Pharmacy LLC is a healthcare organization based in Hoboken, NJ. Premier Specialty Pharmacy LLC practices in Hoboken, NJ. The NPI Number for Premier Specialty Pharmacy LLC is 1073069779 and holds a License No. 28RS00751600 (NJ). The current practice location address for Premier Specialty Pharmacy LLC is 101 Park Ave, Ste 2, Hoboken, NJ 07030-3795 and can be reached out via phone at 201-683-8647 and via fax at 201-683-8648.

Provider Profile Details

NPI Number
1073069779
Provider Name
Premier Specialty Pharmacy LLC
Provider Entity Type
Organization
Address
101 Park Ave, Ste 2, Hoboken, NJ 07030-3795
Phone Number
201-683-8647
Fax Number
201-683-8648
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
No
Authorized Official
Polina Poliakova · Pic · 201-683-8647
Other Names
Premier Pharmacy (Doing Business As)
Provider Enumeration Date
September 1, 2016
Last Update Date
April 11, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Park Ave
Ste 2
Hoboken, NJ 07030-3795
Zip
07030-3795
Phone Number
201-683-8647
Fax Number
201-683-8648
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
101 Park Ave
Ste 2
Hoboken, NJ 07030-3795
City
Hoboken
State
NJ
Zip
07030-3795
Phone Number
201-683-8647
Fax Number
201-683-8648

License Information

Taxonomy (1)
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Taxonomy (2)
Pharmacy, Specialty Pharmacy · 3336S0011X
License Number (3)
28RS00751600
License State (3)
NJ
Taxonomy (3)
Pharmacy · 333600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Premier Specialty Pharmacy LLC?

The NPI number of Premier Specialty Pharmacy LLC is 1073069779. It was assigned on September 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Premier Specialty Pharmacy LLC?

Premier Specialty Pharmacy LLC is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 28RS00751600.

Where does Premier Specialty Pharmacy LLC practice?

The practice location is 101 Park Ave, Ste 2, Hoboken, NJ 07030-3795. The office can be reached at 201-683-8647 (phone) or 201-683-8648 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073069779 directly on the NPPES registry website.

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