NPI age
9 years
Enumerated 2016-09-16
● Active Type 2 · Organization
Premier Specialty Pharmacy Llc
Premier Specialty Pharmacy Llc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gougelmann
Pharmacist In Charge
Last NPPES update
2017-02-21
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 65% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
11720 Medlock Bridge Rd Ste 162
Johns Creek, GA 300971513
Mailing address
335 Lum Crowe Rd
Roswell, GA 300756879
Authorized official
Buffy Gougelmann
Pharmacist In Charge
📞 7706228901
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA 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...
-
PharmacyA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2166839 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Premier Specialty Pharmacy
Practice context
Single-site organization. Only one practice location on file.
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