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PREMIER SPECIALTY PHARMACY LLC
NPI 1013465236
Pharmacy - Community/Retail Pharmacy in Johns Creek, GA

Active since September 16, 2016
11720 MEDLOCK BRIDGE RD STE 162, JOHNS CREEK, GA 30097(770) 622-8901(770) 622-8900 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2017, Dec 21, 2016, Sep 16, 2016 (3 updates tracked since 2016).

About Premier Specialty Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER SPECIALTY PHARMACY LLC (NPI 1013465236), doing business as Premier Specialty Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Johns Creek, Georgia and active in the NPI registry since September 2016. The organization lists Buffy Gougelmann, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1013465236
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePREMIER SPECIALTY PHARMACY LLC
Location Address11720 MEDLOCK BRIDGE RD STE 162Johns Creek, GA 30097-1513
Mailing Address335 Lum Crowe RdRoswell, GA 30075-6879 · (678) 478-8019
Phone(770) 622-8901
Fax(770) 622-8900
Organization SubpartNo
Authorized OfficialBuffy GougelmannPharmacist In Charge · (770) 622-8901
Enumeration DateSeptember 16, 2016
Last NPPES UpdateFebruary 21, 20173 updates tracked since enumeration
✔ NPI 1013465236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE010313
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
11720 MEDLOCK BRIDGE RD STE 162, Johns Creek, GA 30097
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Other Names 1

Former Legal Business NamePremier Specialty Pharmacy

Other Identifiers 1

Other2166839Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Specialty Pharmacy LLC's NPI number?

The NPI number for Premier Specialty Pharmacy LLC is 1013465236. It was assigned to this organization in the NPPES registry on September 16, 2016. The provider was formerly known as Premier Specialty Pharmacy.

Where is Premier Specialty Pharmacy LLC located?

Premier Specialty Pharmacy LLC is located at 11720 Medlock Bridge Rd Ste 162, Johns Creek, GA 30097. The listed phone number is (770) 622-8901.

What is Premier Specialty Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Premier Specialty Pharmacy LLC accept?

Health plans from Mending Health list Premier Specialty Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Specialty Pharmacy LLC was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.