Organization Active NPI

Towncrest Compounding LLC

  • Compounding Pharmacy
  • Iowa City, IA
National Provider Identifier
1063534154
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
1318 Issued in IA
Legal business name
TOWNCREST COMPOUNDING LLC
Practice address
901 S 1St Ave
Iowa City, IA 52245-5211
Phone
(319) 688-4386
Fax
(319) 337-5271
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Mr. Michael Debubger, RPH PHD
Title
Compouding Pharmacist
Phone
(319) 337-3536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 1318 IA Primary

Addresses

Primary practice location

901 S 1St Ave
Iowa City, IA 52245-5211

Mailing address

2306 Muscatine Ave
Iowa City, IA 52240-6637
Phone (319) 337-3526

National Provider Directory

National Provider Directory

Locations

901 S 1st Ave
Iowa City, IA 52245
Phone (319) 688-4386

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1063534154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 MUSCATINE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406637",
            "telephone_number": "319-337-3526",
            "fax_number": "319-337-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S 1ST AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522455211",
            "telephone_number": "319-688-4386",
            "fax_number": "319-337-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNCREST COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "DEBUBGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COMPOUDING PHARMACIST",
        "authorized_official_telephone_number": "319-337-3536",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IA",
            "license": "1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.