Cleveland Compounding Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10058 Issued in NC

Legal business name

CLEVELAND COMPOUNDING INC

Doing business as

Cleveland Compounding Inc

Practice address

701 2 East Grover St
Shelby, NC 28150

Phone

(704) 487-1971

Fax

(704) 487-1971

NPI assigned

Jun 20, 2008

Last updated

Dec 31, 2012By 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

Gary Harden, RPH

Title

Mang

Phone

(704) 487-1971

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CLEVELAND COMPOUNDING INC Doing business as

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1174784292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 2 EAST GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-487-2939",
            "fax_number": "704-487-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 2 EAST GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-487-1971",
            "fax_number": "704-487-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND COMPOUNDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANG",
        "authorized_official_telephone_number": "704-487-1971",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10058",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3411092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEVELAND COMPOUNDING INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John William Claytor Jr., D.D.S.
• Cleco Primary Care Network
• Cleco Primary Care Network (CLECO Medical Center)
• Cleveland Ambulatory Services, LLC (Atrium Health Surgery Center Shelby)
• Cleveland Community & Home Support Services Inc
• Cleveland Counseling, P.C.
• Cleveland County Family Young Men's Christian Association, Inc.
• Cleveland County Healthcare System (Cleveland Regional Medical Center)
• Cleveland County Healthcare System (Cleveland Regional Medical Center)
• Cleveland County Healthcare System (Cleveland Pines Nursing Center)

• Community/Retail Pharmacy in Shelby, NC
• Providers in Shelby, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.