Active NPI
Compounding Specalties of Conover
- Compounding Pharmacy
- Conover, NC
National Provider Identifier
1124428149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 07704
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2068812 | Other | PK |
Other names 1
- COMPOUNDING SPECALTIES OF CONOVER
National Provider Directory
National Provider DirectoryNPI 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.