PREMIER PHARMACY LLC NPI 1790157618

NPI Information

  • NPI: 1790157618
  • Provider Name: PREMIER PHARMACY LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: PREMIER PHARMACY LLC
  • Address: 150 MONUMENT RD STE 601A
    BALA CYNWYD, PA
    ZIP 19004
  • Phone: (484) 270-6501

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NPI Details

PREMIER PHARMACY LLC is a pharmacy in Bala Cynwyd, PA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PREMIER PHARMACY LLC NPI is 1790157618. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Pharmacy Llc.

The provider's business location address is:

150 MONUMENT RD STE 601A
BALA CYNWYD, PA
ZIP 19004-701
Phone: (484) 270-6501

The provider's authorized official is Miroslav Kesic .
The authorized official title is President and has the following contact phone number (484) 270-6501.

The enumeration date for this NPI number is 10/30/2015 and was last updated on 11/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyPP482598PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12155178OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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