Carters Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

0000003710 Issued in TN

Legal business name

CARTERS COMPOUNDING PHARMACY

Doing business as

Carters Compounding Pharmacy

Practice address

106 Elk Ave S
Ste B
Fayetteville, TN 37334-3050

Phone

(931) 433-1511

Fax

(931) 433-6854

NPI assigned

Nov 8, 2006

Last updated

Sep 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jimmy Damron, RPHNPI 1811021074

Title

Owner and Pharm

Phone

(931) 433-1511

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CARTERS COMPOUNDING PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmy David Damron, D.PH.

  • Pharmacist
  • Fayetteville, TN
  • NPI 1811021074
  Authorized official Same address or phone

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1033289111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ELK AVE S",
            "address_2": "STE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343050",
            "telephone_number": "931-433-1511",
            "fax_number": "931-433-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ELK AVE S",
            "address_2": "STE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343050",
            "telephone_number": "931-433-1511",
            "fax_number": "931-433-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERS COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "DAMRON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER AND PHARM",
        "authorized_official_telephone_number": "931-433-1511",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "0000003710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4435853",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARTERS COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Browns Medical Equipment and Repair
• Joslyn Caldwell, PA-C
• Frederick G Carodine Jr.
• Joan Butler Carter, RN
• Carters at Stone Bridge LLC (Carters at Stonebridge)
• Carters Drugs LLC
• Carters Inc (Carters Drug Store)
• Carters SB LLC
• Mary Causey
• Center for Physical Medicine

• Compounding Pharmacy in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Compounding Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.