US Compounding Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

20503 Issued in AR

Legal business name

US COMPOUNDING INC.

Practice address

2515 College Ave
Conway, AR 72034-6135

Phone

(501) 327-1222

Fax

(501) 327-2488

NPI assigned

Aug 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eddie Glover, P.D.

Title

President, Pharmacist-in-Charge

Phone

(501) 327-1222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1154577138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346135",
            "telephone_number": "501-327-1222",
            "fax_number": "501-327-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346135",
            "telephone_number": "501-327-1222",
            "fax_number": "501-327-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US COMPOUNDING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "PRESIDENT, PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "501-327-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AR",
            "license": "20503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP/NABP",
            "identifier": "0422179",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Central Arkansas
• University of Central Arkansas
• University of Central Arkansas
• Andria Casie Upton, OTR/L
• Ura Resource Center, LLC
• Nichole Lea Ussery, RN
• Vafa Ferdowsian DPM, P.a.
• Vafa Ferdowsian DPM, P.a.
• Pedro Vincente Valdes Jr.
• Carleigh Lynn Valentine Tapp, OT

• Compounding Pharmacy in Conway, AR
• Providers in Conway, AR by specialty
• Compounding Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.