NPIMap

Organization Active NPI

J & L Compounding LLC

Doing business as J & L Compounding

  • Compounding Pharmacy
  • Aiken, SC
National Provider Identifier
1093023020
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
10741 Issued in SC
Legal business name
J & L COMPOUNDING LLC
Doing business as
J & L Compounding
Practice address
194 Crepe Myrtle CT
Aiken, SC 29803-7543
Phone
(803) 649-1175
Fax
(803) 649-1175
NPI assigned
Sep 24, 2010
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Kenneth Stephen HibbittsNPI 1558052639
Title
Owner
Phone
(803) 648-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 10741 SC Primary

Addresses

Primary practice location

194 Crepe Myrtle CT
Aiken, SC 29803-7543

Mailing address

PO Box 6295
Aiken, SC 29804-6295
Phone (803) 648-7800

Other identifiers 1

IdentifierTypeStateIssuer
2126865OtherPK

Other names 1

  • J & L Compounding Doing business as

National Provider Directory

National Provider Directory

Locations

194 Crepe Myrtle Dr
Aiken, SC 29803
Phone (803) 648-7800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1093023020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6295",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298046295",
            "telephone_number": "803-648-7800",
            "fax_number": "803-648-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CREPE MYRTLE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037543",
            "telephone_number": "803-649-1175",
            "fax_number": "803-649-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & L COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "HIBBITTS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-648-7800"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "10741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & L Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.