Organization Active NPI

Compounding Specalties of Conover

  • Compounding Pharmacy
  • Conover, NC
National Provider Identifier
1124428149
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
07704 Issued in NC
Legal business name
COMPOUNDING SPECALTIES OF CONOVER
Practice address
317 1St St E
Conover, NC 28613-1715
Phone
(828) 464-4491
Fax
(828) 464-4495
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Ron Harwell
Title
RPH/Owner
Phone
(828) 464-4491

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X 07704 NC Primary

Addresses

Primary practice location

317 1St St E
Conover, NC 28613-1715

Mailing address

PO Box 458
Conover, NC 28613-0458
Phone (828) 464-4491

Other identifiers 1

IdentifierTypeStateIssuer
2068812OtherPK

Other names 1

  • COMPOUNDING SPECALTIES OF CONOVER 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": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1124428149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286130458",
            "telephone_number": "828-464-4491",
            "fax_number": "828-464-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 1ST ST E",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131715",
            "telephone_number": "828-464-4491",
            "fax_number": "828-464-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDING SPECALTIES OF CONOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "HARWELL",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "828-464-4491"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": "07704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPOUNDING SPECALTIES OF CONOVER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.