MEDICARE: PREMIERX PHARMACY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist

General Provider Information

NPI Number	:	1952252355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIERX PHARMACY INC.

Provider Business Mailing Address
First Line	:	6700 MERWIN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-2844
Country	:	US
Telephone Number	:	614-924-2124
Fax Number	:	614-505-3093

Provider Business Practice Location Address
First Line	:	4633 MORSE CENTRE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-6601
Country	:	US
Telephone Number	:	614-924-2124
Fax Number	:	614-505-3093

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	UREJI AHMED
Credential	:
Telephone Number	:	614-924-2124

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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