NPIMap

Organization Active NPI

Huntsville Compounding Pharmacy Inc

Doing business as Huntsville Compounding Pharmacy

  • Community/Retail Pharmacy
  • Huntsville, AL
National Provider Identifier
1194810036
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112434 Issued in AL
Legal business name
HUNTSVILLE COMPOUNDING PHARMACY INC
Doing business as
Huntsville Compounding Pharmacy
Practice address
2121 Whitesburg Dr SE
Ste E
Huntsville, AL 35801-4501
Phone
(256) 425-0123
Fax
(256) 425-0195
NPI assigned
Oct 4, 2006
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
James GillespieNPI 1144262189
Title
Owner
Phone
(256) 425-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 112434 AL Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

2121 Whitesburg Dr SE
Ste E
Huntsville, AL 35801-4501

Mailing address

2121 Whitesburg Dr SE
Ste E
Huntsville, AL 35801-4501
Phone (256) 425-0123

Other identifiers 2

IdentifierTypeStateIssuer
107937MedicaidAL
0132287OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HUNTSVILLE COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2121 Whitesburg Dr SE
Ste E
Huntsville, AL 35801
Phone (256) 425-0123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1194810036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WHITESBURG DR SE",
            "address_2": "STE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014501",
            "telephone_number": "256-425-0123",
            "fax_number": "256-425-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WHITESBURG DR SE",
            "address_2": "STE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014501",
            "telephone_number": "256-425-0123",
            "fax_number": "256-425-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-425-0123"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112434",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107937",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0132287",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUNTSVILLE COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.