Cross Timbers Compounding LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

30028 Issued in TX

Legal business name

CROSS TIMBERS COMPOUNDING LLC

Doing business as

Custom Compounding Pharmacy LLC

Practice address

1880 Santa Fe Drive Suite 200
Weatherford, TX 76086-6482

Phone

(817) 550-6044

Fax

(682) 262-1365

NPI assigned

Jun 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Buchanan

Title

Officer

Phone

(817) 550-6044

Specialties & licenses 2

Addresses

Other names 1

• Custom Compounding Pharmacy LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1023499985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 SANTA FE DRIVE SUITE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866482",
            "telephone_number": "817-550-6044",
            "fax_number": "682-262-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SANTA FE DRIVE SUITE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866482",
            "telephone_number": "817-550-6044",
            "fax_number": "682-262-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS TIMBERS COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "817-550-6044"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "30028",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Compounding Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Cranford, LPC
• Ashley Crawford, M.S., CF-SLP
• Joseph Edward Creasy Jr., DDS
• Crescent Senior Care LLC
• Jayme Crosby
• Cassandra Jo Crow, PMHNP-BC
• Amanda Crump
• Donna Gayle Crumpler, SA
• Bratina Cruse
• Bailey Jordan Culbertson, RN

• Pharmacy in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.