OrganizationActive
Premium Pharmacy Services Inc
NPI 1902258130 · Community/Retail Pharmacy · College Park, MD
Premium Pharmacy Services Inc is a Community/Retail Pharmacy organization in College Park, MD (NPI 1902258130).
Provider details
- NPI number
- 1902258130
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Vivian Ayuk, Pharmacist/Owner/Ao(240) 223-7064
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
4701 Melbourne Pl
College Park, MD 20740-2540
Phone: (301) 474-0500
Fax: (301) 474-0550
Street-level locationGet directions
Mailing address
4701 Melbourne Pl
College Park, MD 20740-2540
Other names (DBA / former)
- Doing business as
- College Park Pharmacy
Registry dates
- Enumerated
- 2016-07-12
- Last updated
- 2017-04-12
Frequently asked questions
- What is Premium Pharmacy Services Inc's NPI number?
- Premium Pharmacy Services Inc's National Provider Identifier (NPI) is 1902258130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Pharmacy Services Inc?
- Premium Pharmacy Services Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Premium Pharmacy Services Inc located?
- Premium Pharmacy Services Inc's practice location on file with NPPES is 4701 Melbourne Pl, College Park, MD 20740-2540.
- What is Premium Pharmacy Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Premium Pharmacy Services Inc is (301) 474-0500.
- Who is the authorized official for Premium Pharmacy Services Inc?
- The authorized official listed on Premium Pharmacy Services Inc's NPPES record is Vivian Ayuk, Pharmacist/Owner/Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Pharmacy Services Inc's NPI active?
- Yes — Premium Pharmacy Services Inc's NPI (1902258130) is active in the NPPES registry as of the last update on 2017-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.