INNOVATIVE COMPOUNDING LLC (NPI# 1588966444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588966444 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE COMPOUNDING LLC |
| Other Organization Name | INNOVATIVE COMPOUNDING |
| Practice Address |
941 Center Crest Dr Suite D Whitsett NC 27377-8001 |
| Practice Telephone | 3364474533 |
| Practice Fax Number | 3364474810 |
| Mailing Telephone | 3364474533 |
| Mailing Fax Number | 3364474810 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2013-07-18 |
| Authorized Official Name | JAMES PHILLIPS (OWNER) |
| Authorized Official Telephone | 8034858586 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
11414 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2138672 | 01 |
| Other Name | Type Code |
|---|---|
| INNOVATIVE COMPOUNDING | Doing Business As Name - Organization |
| Street Address |
941 CENTER CREST DR SUITE D |
| City | WHITSETT |
| State | NC |
| Zip Code | 27377-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891163457 | Back To Basics Healthcare Pllc | Clinic/Center | 941 Center Crest Dr, Ste C, Whitsett, NC 27377-8001 | 2015-09-11 |
| 1679959464 | Angelique Sheets | Nurse Practitioner | 941 Center Crest Dr, Whitsett, NC 27377-8001 | 2015-08-04 |
| 1700280062 | Back To Basics Family Practice Clinic, Pllc | Clinic/Center | 941 Center Crest Dr, Ste C, Whitsett, NC 27377-8001 | 2014-10-15 |
| 1245674233 | Balanced Health Chiropractic, Pllc | Chiropractor | 941 Center Crest Dr, Suite C, Whitsett, NC 27377-8001 | 2013-04-22 |
| 1437431418 | Julie Rose Barr | Nurse Practitioner | 941 Center Crest Dr, Ste C, Whitsett, NC 27377-8002 | 2011-09-15 |
| 1538452412 | Maggie Elizabeth Ashworth | Chiropractor | 941 Center Crest Dr, Suite C, Whitsett, NC 27377-8001 | 2011-05-25 |
| 1629370481 | Innovative Compounding | Pharmacy | 941 Center Crest Dr, Suite D, Whitsett, NC 27377 | 2010-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831468156 | Sara Kirkland Huffman | Social Worker | 6602 Maderia Ct, Whitsett, NC 27377 | 2011-12-14 |
| 1003939117 | Graham Shaw Duncan | Family Medicine | 940 Golf House Rd E, Stoney Creek, NC 27377 | 2007-04-06 |
| 1598858920 | Midtown Pharmacy LLC | Pharmacy | 941 Center Crest Dr Ste A, Whitsett, NC 27377 | 2006-09-30 |
| 1750312112 | Billie-lynn D Bean | Nurse Practitioner | 940 Golf House, Court E, Whitsett, NC 27377 | 2006-07-05 |
| 1316902984 | Richard Ira Letvak | Internal Medicine | 940 Golf House Road, Court E, Whitsett, NC 27377 | 2006-04-18 |
| 1770987380 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6815 Seattle Slew Pl, Whitsett, NC 27377-6001 | 2014-10-13 |
| 1265799894 | Midtown Pharmacy, LLC | Pharmacy | 941 Center Crest Dr Ste A, Whitsett, NC 27377-8002 | 2012-04-20 |
| 1538422571 | Adria Elizabeth Shipp | Counselor | 6317 Sweetbay Dr, Whitsett, NC 27377-8704 | 2012-06-22 |
| 1336560861 | Crystal Jackson | Counselor | 579 Pimlico Cir, Whitsett, NC 27377-8713 | 2013-12-31 |
| 1316119670 | Julie Ritter | Speech-Language Pathologist | 687 Winners Pt, Whitsett, NC 27377-8720 | 2008-03-27 |
| Find all providers in zip 27377 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
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| 1003289034 | Burlington 8142 LLC | Pharmacy | 378 Harden St, Burlington, NC 27215-7516 | 2015-11-13 |
| 1881038230 | Smart Pharmacy LLC | Pharmacy | 10 W Palmer St, Franklin, NC 28734-3046 | 2013-04-28 |
| 1588917553 | Lowry Drug Co | Pharmacy | 750 Hartness Rd Ste A, Statesville, NC 28677-3400 | 2012-10-16 |
| 1922364298 | Natural Sleep Store LLC | Pharmacy | 3750 Nw Cary Pkwy Ste 112, Cary, NC 27513-8432 | 2012-04-11 |
| 1821364506 | Johnsons Family Pharmacy and Compounding LLC | Pharmacy | 109 Professional Ct Ste 103, Garner, NC 27529-8348 | 2012-03-28 |
| 1801193503 | A2z Pharmacy LLC | Pharmacy | 1408 Archdale Dr, Charlotte, NC 28210-4421 | 2011-02-16 |
| 1356657043 | Chapman Pharmacy | Pharmacy | 563 Jackson Park Rd, Kannapolis, NC 28083-3657 | 2010-08-19 |
| 1629395553 | Whb Enterprises Ltd | Pharmacy | 1921 N Pointe Dr, Suite 120e, Durham, NC 27705-2672 | 2010-05-03 |
| 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.