Pmr Retailer LLC
NPI 1770426504ActiveOrganization· Supports Brokerage· Covington, GA
Supports Brokerage in Covington, Georgia, registered in NPPES in April 2026. The authorized official on file is Pamela Mechelle Russell, AAS, OVC/NOVA, Owner.
Overview
| NPI | 1770426504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 14, 2026 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Supports Brokerage Primary | 251X00000X | — | — |
| Case Management | 251B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|