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Premier Drugstore LLC

Community/Retail Pharmacy in Douglasville, GA · enumerated 2016 · authorized official Bryan Green, Pic/Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114372448

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Drugstore LLC
Other name <Unavail>
Practice address 8446 Campbellton St, Douglasville, GA, 30134
Phone (770) 635-8509
Fax (770) 675-7296
Enumeration date Apr 23, 2016
Last updated in NPPES Apr 17, 2017

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHRE010286 (GA) Primary

Authorized official

Name Bryan Green
Title Pic/Pharmacist
Phone (678) 481-0925

Other identifiers

Identifier Type State Issuer
2159731 Other - PK
0037175653A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Premier Drugstore LLC?
Premier Drugstore LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-17.