NPI age
8 years
Enumerated 2018-05-08
● Active Type 2 · Organization
Premium Pharma, Llc
Premium Pharma, Llc is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Klatt
Vp Of Operations
Last NPPES update
2018-11-15
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
8 years
↓ 7 yr below median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-05Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1 Fm 3351 S Ste 115
Boerne, TX 78006
Mailing address
1 Fm 3351 S Ste 115
Boerne, TX 780065729
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4503 De Zavala Rd Ste 112
San Antonio, TX 782492060
Authorized official
Dudley Klatt
Vp Of Operations
📞 3612270412
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Allison Ogle, DO Family Medicine NPI 1447838610
- Rolando Ramon, RPH Pharmacist NPI 1477138675
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2177272 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Pharmacy at Bergheim
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 1 secondary practice location.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.