COMPOUNDER, LLC (NPI# 1770849424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770849424 |
| Entity Type | Organization |
| Organization Name | COMPOUNDER, LLC |
| Other Organization Name | VITASCRIPT PHARMACY & NUTRITION CENTER |
| Practice Address |
6345 Woodside Court #102 Columbia MD 21046-3224 |
| Mailing Address |
6345 Woodside Ct Ste 102 Suite #102 Columbia MD 21046-3224 |
| Practice Telephone | 4103097926 |
| Practice Fax Number | 4103095956 |
| Mailing Telephone | 4103097926 |
| Mailing Fax Number | 4103095956 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | DR. RALPH LYNN SHUMAKE JR. (PHARMACIST) |
| Authorized Official Telephone | 8882483266 |
| Authorized Official Credential | PHARMACY DOCTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PW0213 | MD | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PW0213 | MD | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PW0213 | MD | Suppliers |
| Other Name | Type Code |
|---|---|
| VitaScript Pharmacy & Nutrition Center | Doing Business As Name - Organization |
| Street Address |
6345 WOODSIDE COURT #102 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| 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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|---|---|---|---|---|
| 1124566989 | Apollo Care, LLC | Pharmacy | 3801 Mojave Ct, Ste 101, Columbia, MO 65202-4042 | 2017-02-01 |
| 1174872113 | Curators of The University of Missouri | Pharmacy | 911 E Rollins St Rm 1207a, Columbia, MO 65201-5124 | 2012-09-06 |
| 1205986213 | Kilgore Inc | Pharmacy | 1608 Chapel Hill Rd, Columbia, MO 65203-5464 | 2007-01-11 |
| 1417901646 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2006-05-20 |
| 1043206493 | Columbia Hickory Pharmacy Inc | Pharmacy | 10805 Hickory Ridge Rd, Suite 2, Columbia, MD 21044-3626 | 2005-09-21 |
| 1427376508 | Curators of The University of Missouri | Pharmacy | 1100 Virginia Ave, Room 1093, Columbia, MO 65212-0001 | 2010-05-13 |
| 1942488242 | Curators of The University of Missouri | Pharmacy | 2325 Smiley Ln, Columbia, MO 65202-1947 | 2008-02-08 |
| 1831100874 | Curators of The University of Missouri | Pharmacy | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2006-08-11 |
| 1598776031 | Curators of The University of Missouri | Pharmacy | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932674264 | Kb Pharm Lockwood Pharmacy | Pharmacy | 10801 Lockwood Dr Ste 190, Silver Spring, MD 20901-1562 | 2018-10-13 |
| 1134651821 | Hope-well Pharmacy Frederick | Pharmacy | 301 W Patrick St, Frederick, MD 21701-4855 | 2017-03-31 |
| 1649711029 | Ur Care Pharmacy Md LLC | Pharmacy | 12619 Wisteria Dr Ste A, Germantown, MD 20874-5259 | 2017-03-17 |
| 1477008068 | Pharmscript of Md LLC | Pharmacy | 7085 Samuel Morse Drive, Ste 110, Columbia, MD 21046 | 2016-08-24 |
| 1265805543 | Hope-well Pharmacy Williamsport LLC | Pharmacy | 307 E Potomac St, Williamsport, MD 21795-1203 | 2015-11-09 |
| 1912397829 | Frankford Family Pharmacy | Pharmacy | 5422 Sinclair Ln, Baltimore, MD 21206-4645 | 2015-01-29 |
| 1033522388 | Ne2 LLC | Pharmacy | 20410 Observation Dr Ste 112, Germantown, MD 20876-6419 | 2014-06-04 |
| 1093128522 | Laboratoryrx of Maryland, LLC | Pharmacy | 9538 Deereco Rd, Timonium, MD 21093-2119 | 2014-06-02 |
| 1972852812 | Shalom Pharmacy and Medical Supplies LLC | Pharmacy | 8981 Woodyard Rd, Clinton, MD 20735-4203 | 2012-09-06 |
| 1114275708 | Deale Pharmacy LLC | Pharmacy | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2012-08-29 |
| 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.