PREMIER PHARMACY LTC
NPI 1205377173
Pharmacy - Long Term Care Pharmacy in Palm Beach Gardens, FL

NPI Status: Active since March 13, 2017

Contact Information

2000 PGA BLVD.
SUITE 5507
PALM BEACH GARDENS, FL
ZIP 33408
Phone: (888) 507-8621

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About PREMIER PHARMACY LTC

This page provides the complete NPI Profile along with additional information for Premier Pharmacy Ltc, a provider established in Palm Beach Gardens, Florida operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1205377173 assigned on March 2017. The practitioner's primary taxonomy code is 3336L0003X with license number PH23481 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Premier Pharmacy Ltc. The authorized official of this NPI record is Tracy Christian Rph, Owner (President/ceo/owner)

NPI
1205377173
Provider Legal Name
PREMIER COMPOUNDING PHARMACY, INC.
Other Organization Name
PREMIER PHARMACY LTC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2000 PGA BLVD. SUITE 5507 PALM BEACH GARDENS, FL 33408
Location Phone
(888) 507-8621
Mailing Address
2000 PGA BLVD. SUITE 5507 PALM BEACH GARDENS, FL 33408
Mailing Phone
(888) 507-8621
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-13-2017
Last Update Date
06-16-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
PH23481
License State
FL
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY CHRISTIAN RPH, OWNER

Authorized Official Title
PRESIDENT/CEO/OWNER
Authorized Official Phone
(888) 507-8621

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2168181OTHER (01)PK

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205377173, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 6 + 7 + 1 + 4 + 1 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205377173.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205377173, enumerated as an "organization" on March 13, 2017.

The provider is located at 2000 PGA BLVD. SUITE 5507 PALM BEACH GARDENS, FL 33408 and the phone number is (888) 507-8621.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.