American Custom Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

27976 Issued in TX

Legal business name

AMERICAN CUSTOM COMPOUNDING PHARMACY

Practice address

2607 Walnut Hill LN
Suite 220
Dallas, TX 75229-5638

Phone

(214) 366-0022

Fax

(214) 366-0298

NPI assigned

Jan 31, 2013

Last updated

Jan 31, 2013By 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

Mr. Matt Gundelfinger

Title

Owner

Phone

(214) 366-0022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1114266889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WALNUT HILL LN",
            "address_2": "SUITE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295638",
            "telephone_number": "214-366-0022",
            "fax_number": "214-366-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 WALNUT HILL LN",
            "address_2": "SUITE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295638",
            "telephone_number": "214-366-0022",
            "fax_number": "214-366-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CUSTOM COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "GUNDELFINGER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-366-0022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "27976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Current Care PA (Concentra Urgent Care)
• American Current Care PA (Concentra Urgent Care)
• American Current Care, P.a.
• American Current Care, P.a. (Concentra Urgent Care)
• American Current Care, P.a.
• American Eyecare Centers Inc
• American Eyewear Inc. (peepers)
• American Health Imaging of Dallas LLC
• American Heritage Dental PA (Cary A Shatto DDS)
• American Hospice, Inc (Girling Hospice TEXAS BY HARDEN HEALTHCARE)

• Compounding Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.