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THE PHARMACY AT BERGHEIM
NPI 1578052312
Pharmacy - Community/Retail Pharmacy in Boerne, TX

Active since May 08, 2018
1 FM 3351 S STE 115, BOERNE, TX 78006(830) 336-2882(830) 336-2883 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2018, May 8, 2018 (2 updates tracked since 2018).

About The Pharmacy At Bergheim NPPES

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

THE PHARMACY AT BERGHEIM (NPI 1578052312) is a healthcare organization registered as a community/retail pharmacy in Boerne, Texas and active in the NPI registry since May 2018. The organization maintains a secondary practice location in San Antonio and lists Dudley Klatt, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1578052312
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePREMIUM PHARMA, LLC
Location Address1 FM 3351 S STE 115Boerne, TX 78006
Mailing Address1 Fm 3351 S Ste 115Boerne, TX 78006-5729 · (830) 336-2882 · Fax (830) 336-2883
Phone(830) 336-2882
Fax(830) 336-2883
Organization SubpartNo
Authorized OfficialDudley KlattVp Of Operations · (361) 227-0412
Enumeration DateMay 8, 2018
Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration
✔ NPI 1578052312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 31977
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
1 FM 3351 S STE 115, Boerne, TX 78006
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Pharmacy At Bergheim

Secondary Practice Location 1

Location 14503 De Zavala Rd Ste 112San Antonio, TX 78249-2060 · Phone (210) 332-5900 · Fax (210) 332-5400

Other Identifiers 1

Other2177272Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON OGLE DO
Family Medicine
1 FM 3351 S STE 115
BOERNE, TX 78006
Kendall County (210) 876-3646
MR. ROLANDO RAMON JR. RPH
Pharmacist
1 FM 3351 S STE 115
BOERNE, TX 78006
Kendall County (303) 362-8828

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 Premium Pharma, LLC's NPI number?

The NPI number for Premium Pharma, LLC is 1578052312. It was assigned to this organization in the NPPES registry on May 8, 2018. The provider is doing business as The Pharmacy At Bergheim.

Where is Premium Pharma, LLC located?

Premium Pharma, LLC is located at 1 Fm 3351 S Ste 115, Boerne, TX 78006. The listed phone number is (830) 336-2882.

What is Premium Pharma, LLC's specialty?

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

What insurance does Premium Pharma, LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Premium Pharma, 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 Premium Pharma, LLC was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.