P & P Compounding Shop, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

3782 Issued in TN

Legal business name

P & P COMPOUNDING SHOP, INC.

Practice address

107 Imperial Blvd
Suite 9
Hendersonville, TN 37075-3479

Phone

(615) 824-1216

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By 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

Rodney McCormickNPI 1730584640

Title

Owner

Phone

(615) 824-1216

Specialties & licenses 1

Addresses

Tax ID family

P and P Prescription Shop 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.

• P and P Prescription Shop Inc

  • Specialty Pharmacy
  • Hendersonville, TN
  • NPI 1881765402
  NPD tax ID

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.

• Rodney McCormick, DPH

  • Pharmacist
  • Hendersonville, TN
  • NPI 1730584640
  Authorized official Same address or phone

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1124266390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD",
            "address_2": "SUITE 9",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD",
            "address_2": "SUITE 9",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753479",
            "telephone_number": "615-824-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & P COMPOUNDING SHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-824-1216"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "3782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Oviedo
• Taylor Owen, NP
• Krystal Owens, M.S., BCBA
• Milad Owji
• Oyedotun Oyewole, M.D.
• P and P Prescription Shop Inc
• Cami Pace
• Pain Management Group, P.C. (the)
• Pain Management Group, PC
• Pain Relief Associates, PLLC

• Compounding Pharmacy in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Compounding Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.