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EDMOND PREMIER DRUG LLC
NPI 1174473821
Pharmacy - Community/Retail Pharmacy in Edmond, OK

Active since February 02, 2026
1101 W 15TH ST, EDMOND, OK 73013(405) 348-0220(405) 348-0459 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edmond Premier Drug Llc NPPES

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

EDMOND PREMIER DRUG LLC (NPI 1174473821) is a healthcare organization registered as a community/retail pharmacy in Edmond, Oklahoma and active in the NPI registry since February 2026. The organization lists Timothy Alan Grundy, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1174473821
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEDMOND PREMIER DRUG LLC
Location Address1101 W 15TH STEdmond, OK 73013-3008
Mailing Address1101 W 15th StEdmond, OK 73013-3008 · (405) 348-0220 · Fax (405) 348-0459
Phone(405) 348-0220
Fax(405) 348-0459
Organization SubpartNo
Authorized OfficialTimothy Alan GrundyPharmacist · (405) 401-3179
Enumeration DateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
✔ NPI 1174473821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
1101 W 15TH ST, Edmond, OK 73013
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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 Edmond Premier Drug LLC's NPI number?

The NPI number for Edmond Premier Drug LLC is 1174473821. It was assigned to this organization in the NPPES registry on February 2, 2026.

Where is Edmond Premier Drug LLC located?

Edmond Premier Drug LLC is located at 1101 W 15th St, Edmond, OK 73013. The listed phone number is (405) 348-0220.

What is Edmond Premier Drug LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Edmond Premier Drug LLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.