Direct Compounding and Outsourcing

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

DIRECT COMPOUNDING AND OUTSOURCING

Doing business as

Direct Compounding

Practice address

1850 Whitney Mesa Dr Ste 180
Henderson, NV 89014-2093

Phone

(702) 877-0703

NPI assigned

Jul 17, 2018

Organization subpart

No

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

Authorized official

Name

Ellie Gerber

Title

Manager

Phone

(760) 500-0271

Specialties & licenses 1

Addresses

Other names 1

• Direct Compounding Doing business as

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1174009732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 WHITNEY MESA DR STE 180",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142093",
            "telephone_number": "702-877-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WHITNEY MESA DR STE 180",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142093",
            "telephone_number": "702-877-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT COMPOUNDING AND OUTSOURCING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-500-0271"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louise N/a Dionne
• Anita Diosdado
• Jocelyn Dip
• Theresa Dipreta
• Peter Diprete II, RD, RDN, LD
• Sophia Diri-Hunter
• Tara Marie Disalle, PA-C
• S Richard Diskin, D.O.
• Katherine Disney-Fairchild
• Sarah Distad, DPT

• Compounding Pharmacy in Henderson, NV
• Providers in Henderson, NV by specialty
• Compounding Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.