Healthcare Provider Details

I. General information

NPI: 1700737327
Provider Name (Legal Business Name): PREMIER PHARMACY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 WINKLER DR
WOOSTER OH
44691-1653
US

IV. Provider business mailing address

720 WINKLER DR
WOOSTER OH
44691-1653
US

V. Phone/Fax

Practice location:
  • Phone: 330-804-0020
  • Fax: 330-804-0022
Mailing address:
  • Phone: 330-804-0020
  • Fax: 330-804-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JOEL GAUSE
Title or Position: PRESIDENT
Credential:
Phone: 330-893-0290