CLINICAL COMPOUNDING SOLUTIONS (NPI# 1225470016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225470016 |
| Entity Type | Organization |
| Organization Name | CLINICAL COMPOUNDING SOLUTIONS |
| Practice Address |
3373 Mayflower Ln Southside AL 35907-7965 |
| Practice Telephone | 2564907760 |
| Practice Fax Number | 2564423299 |
| Mailing Telephone | 2564907760 |
| Mailing Fax Number | 2564423299 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |
| Authorized Official Name | DR. DANIEL S BAKER (OWNER) |
| Authorized Official Telephone | 2564907760 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers | ||
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
Pharmacy Service Providers | ||
| Y | 183500000X | Pharmacist | 16217 | AL | Pharmacy Service Providers |
| Street Address |
3373 MAYFLOWER LN |
| City | SOUTHSIDE |
| State | AL |
| Zip Code | 35907-7965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982955043 | Life Choice Hospice of Alabama LLC | Hospice Care, Community Based | 1735 Highway 77, Southside, AL 35907 | 2012-09-28 |
| 1447550363 | Mary Geiger | Hearing Instrument Specialist | 510 S 3rd St., Gadsden, AL 35907 | 2010-10-26 |
| 1588840177 | Amy L Thornton | Nurse Practitioner | 1026 Goodyear Ave., Suite 300, Gadsden, AL 35907 | 2008-01-14 |
| 1336687078 | Gina Bolton Farley | Nurse Practitioner | 5895 Katherine St, Southside, AL 35907-0005 | 2017-02-02 |
| 1174657191 | Lisa Alison Florence | Family Medicine | 1602 Highway 77, Southside, AL 35907-0100 | 2007-03-14 |
| 1649463431 | Southside Family Medicine, Inc. | Family Medicine | 1602 Highway 77, Southside, AL 35907-0100 | 2007-08-24 |
| 1700172954 | Merin Amanda Graves | Optometrist | 1755 Al-77, Southside, AL 35907-0103 | 2011-06-27 |
| 1891862942 | Eye Care Associates, Inc | Optometrist | 1755 Highway 77, Southside, AL 35907-0169 | 2006-11-30 |
| 1427152735 | Rickey D Hess | Dentist | 1745 Highway 77, Southside, AL 35907-0169 | 2006-09-08 |
| 1316959679 | Jennifer Alverson | Optometrist | 1800 Al-77, Southside, AL 35907-0169 | 2006-08-13 |
| Find all providers in zip 35907 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447435268 | Mark Edward Parrish | Pharmacist | 3175 Berkley Ct, Southside, AL 35907-8012 | 2007-12-31 |
| 1033434121 | Kelli Kilgro Cornelius | Pharmacist | 1514 Highway 77, Lawley Drug and Medical, Southside, AL 35907-0408 | 2010-03-31 |
| 1942525142 | Michelle Elkins Thomason | Pharmacist | 1250 Highway 77, Southside, AL 35907-0405 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
| 1225637929 | Jessica Lynn Bogucki | Pharmacist | 5324 Bristolwood Cir, Northport, AL 35475-5938 | 2020-10-22 |
| 1770181018 | Patrick R Brown | Pharmacist | 1167 County Road 437 Ste A, Cullman, AL 35055-0203 | 2020-10-09 |
| 1124625835 | Nancy Kickliter | Pharmacist | 404 Beach Island Trce, Dadeville, AL 36853-4615 | 2020-10-06 |
| 1700483484 | Abigail Cooke | Pharmacist | 5636 Vista Bonita Dr N, Mobile, AL 36609-2522 | 2020-10-05 |
| 1750988846 | Margaret Braden | Pharmacist | 561 Sr-69, Hanceville, AL 35077 | 2020-10-02 |
| 1891302857 | Christopher Hamilton Vought | Pharmacist | 3201 Endeavor Ln, Vestavia, AL 35242-8250 | 2020-09-24 |
| 1659988566 | Joshua Manning | Pharmacist | 459 Dauphin St Apt B, Mobile, AL 36602-2413 | 2020-09-24 |
| 1396352456 | Lindsey Hawkins | Pharmacist | 350 County Road 723, Cullman, AL 35055-9040 | 2020-09-23 |
| 1548874266 | Generational Care LLC | Pharmacist | 4748 Regal Dr, Montgomery, AL 36116-4415 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.