OrganizationActive
Premiere Healthcare LLC
NPI 1811284060 · Pharmacy · Doniphan, MO
Provider details
- NPI number
- 1811284060
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Phillip Wilkins, Owner/Pharmacist(573) 996-3784
- License
- 2010023102 (MO)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
513b N Grand Ave
Doniphan, MO 63935-1405
Phone: (573) 996-3784
Fax: (573) 996-5275
Street-level locationGet directions
Mailing address
513b N Grand Ave
Doniphan, MO 63935-1405
Other names (DBA / former)
- Doing business as
- Medical Center Pharmacy
Registry dates
- Enumerated
- 2011-07-07
- Last updated
- 2011-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.