PREMIER PHARMACEUTICAL SERVICES LLC NPI 1356401491

NPI Information

  • NPI: 1356401491
  • Provider Name: PREMIER PHARMACEUTICAL SERVICES, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Address: 1348 US HIGHWAY 61 S
    WOODVILLE, MS
    ZIP 39669
  • Phone: (601) 888-7176

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NPI Details

PREMIER PHARMACEUTICAL SERVICES, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Woodville, MS. PREMIER PHARMACEUTICAL SERVICES, LLC NPI is 1356401491. The provider is registered as an organization entity type.

The provider's business location address is:

1348 US HIGHWAY 61 S
WOODVILLE, MS
ZIP 39669-560
Phone: (601) 888-7176
Fax: (601) 888-7134

The provider's authorized official is Gary Russell Johnson .
The authorized official title is Owner and has the following contact phone number (601) 888-7176.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.

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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies05058 11.1MISSISSIPPIYes

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
11434850MEDICAIDLOUISIANA
200440778MEDICAIDMISSISSIPPI
31268453MEDICAIDLOUISIANA
40330599MEDICAIDMISSISSIPPI

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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