LBJ Enterprises, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PO 7398 Issued in KY

Legal business name

LBJ ENTERPRISES, INC.

Doing business as

Spencer's Compounding Pharmacy

Practice address

210 Jacks Shopping Ctr
Scottsville, KY 42164-1619

Phone

(270) 239-6700

Fax

(270) 239-6701

NPI assigned

Aug 31, 2005

Last updated

Jun 28, 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

Ms. Laura P Spencer, RPH

Title

Pharmacist Owner

Phone

(270) 239-6700

Specialties & licenses 1

Addresses

Other names 1

• Spencer's Compounding Pharmacy Doing business as

Tax ID family

LBJ Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• LBJ Enterprises, Inc

  • Compounding Pharmacy
  • Scottsville, KY
  • NPI 1457664914
  NPD tax ID

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1114911526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JACKS SHOPPING CTR",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641619",
            "telephone_number": "270-239-6700",
            "fax_number": "270-239-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JACKS SHOPPING CTR",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641619",
            "telephone_number": "270-239-6700",
            "fax_number": "270-239-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBJ ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "270-239-6700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KY",
            "license": "PO 7398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spencer's Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phallin Jade Key
• Scott Kirschner
• Lindsey Landers
• Michael Vernon Lang, D.O.
• LBJ Enterprises, Inc
• Byron Lee
• James Robert Madon III, PHARMD.
• Dennis Makokha, MA
• Gloria Marroquin, M.D.
• Angela Brooke Marsh, APRN

• Compounding Pharmacy in Scottsville, KY
• Providers in Scottsville, KY by specialty
• Compounding Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.