OrganizationActive
Premium Pharma, LLC
NPI 1578052312 · Community/Retail Pharmacy · Boerne, TX
Premium Pharma, LLC is a Community/Retail Pharmacy organization in Boerne, TX (NPI 1578052312).
Provider details
- NPI number
- 1578052312
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dudley Klatt, Vp of Operations(361) 227-0412
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Fm 3351 S Ste 115
Boerne, TX 78006
Phone: (830) 336-2882
Fax: (830) 336-2883
Approximate (ZIP-level) locationGet directions
Mailing address
1 Fm 3351 S Ste 115
Boerne, TX 78006-5729
Other names (DBA / former)
- Doing business as
- The Pharmacy at Bergheim
Additional practice locations (1)
- 4503 De Zavala Rd Ste 112San Antonio, TX 78249-2060Phone: (210) 332-5900Fax: (210) 332-5400
Registry dates
- Enumerated
- 2018-05-08
- Last updated
- 2018-11-15
Frequently asked questions
- What is Premium Pharma, LLC's NPI number?
- Premium Pharma, LLC's National Provider Identifier (NPI) is 1578052312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Pharma, LLC?
- Premium Pharma, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Premium Pharma, LLC located?
- Premium Pharma, LLC's practice location on file with NPPES is 1 Fm 3351 S Ste 115, Boerne, TX 78006.
- What is Premium Pharma, LLC's phone number?
- The practice phone number listed in the NPPES registry for Premium Pharma, LLC is (830) 336-2882.
- Who is the authorized official for Premium Pharma, LLC?
- The authorized official listed on Premium Pharma, LLC's NPPES record is Dudley Klatt, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Pharma, LLC's NPI active?
- Yes — Premium Pharma, LLC's NPI (1578052312) is active in the NPPES registry as of the last update on 2018-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.