Organization Active NPI

Orchard Hills Compounding, Inc.

Doing business as Orchard Hills Compounding

  • Compounding Pharmacy
  • Springfield, MO
National Provider Identifier
1073532180
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
2004012799 Issued in MO
Legal business name
ORCHARD HILLS COMPOUNDING, INC.
Doing business as
Orchard Hills Compounding
Practice address
3816A W Chestnut Expy
Springfield, MO 65802-5500
Phone
(417) 868-8288
Fax
(417) 868-8248
NPI assigned
Jul 19, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Jeffrey J Goetzinger, R.PH.
Title
Owner Pharmacist
Phone
(417) 868-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 2004012799 MO Primary

Addresses

Primary practice location

3816A W Chestnut Expy
Springfield, MO 65802-5500

Mailing address

3816A W Chestnut Expy
Springfield, MO 65802-5500
Phone (417) 868-8288

Other identifiers 1

IdentifierTypeStateIssuer
606157600MedicaidMO

Other names 1

  • Orchard Hills Compounding Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073532180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816A W CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025500",
            "telephone_number": "417-868-8288",
            "fax_number": "417-868-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816A W CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025500",
            "telephone_number": "417-868-8288",
            "fax_number": "417-868-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD HILLS COMPOUNDING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GOETZINGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "417-868-8288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MO",
            "license": "2004012799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606157600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Hills Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.