Organization Active NPI

Compounds by Design Pharmacy LLC

  • Specialty Pharmacy
  • Richland, WA
National Provider Identifier
1174786172
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
CF0059189 Issued in WA
Legal business name
COMPOUNDS BY DESIGN PHARMACY LLC
Practice address
780 Swift Blvd
Ste 110
Richland, WA 99352-3524
Phone
(509) 946-3207
Fax
(509) 943-3010
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Anne Henriksen, PHRMD
Title
Owner
Phone
(509) 943-3030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X CF0059189 WA Primary

Addresses

Primary practice location

780 Swift Blvd
Ste 110
Richland, WA 99352-3524

Mailing address

780 Swift Blvd
Ste 110
Richland, WA 99352-3524

Other identifiers 1

IdentifierTypeStateIssuer
4932984OtherOTHER ID NUMBER

Other names 1

  • COMPOUNDS BY DESIGN Doing business as

National Provider Directory

National Provider Directory

Locations

780 Swift Blvd
Ste 110
Richland, WA 99352
Phone (509) 943-3030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1174786172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SWIFT BLVD",
            "address_2": "STE 110",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SWIFT BLVD",
            "address_2": "STE 110",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523524",
            "telephone_number": "509-946-3207",
            "fax_number": "509-943-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDS BY DESIGN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "HENRIKSEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-943-3030",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "WA",
            "license": "CF0059189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4932984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPOUNDS BY DESIGN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.