Tailor Made Compounding

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

P07728 Issued in KY

Legal business name

TAILOR MADE COMPOUNDING

Practice address

200 Moore Dr
Nicholasville, KY 40356-8512

Phone

(859) 887-0013

Fax

(859) 406-1242

NPI assigned

Mar 21, 2016

Last updated

Mar 21, 2016By 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

Dr. James Williams, PHARMD

Title

Pharmacist-in-Charge

Phone

(859) 887-0013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 3

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.

• Tiffany Dawn Adams, RPH

  • Pharmacist
  • Nicholasville, KY
  • NPI 1477434397
  NPD (past)
• Alexis Nicole Dale, PHARMD, RPH

  • Pharmacist
  • Versailles, KY
  • NPI 1558912212
  NPD (past)
• Emily Noel Jones, PHARMD, RPH

  • Pharmacist
  • Nicholasville, KY
  • NPI 1427620467
  NPD (past)

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1235591165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOORE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568512",
            "telephone_number": "859-887-0013",
            "fax_number": "859-406-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOORE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568512",
            "telephone_number": "859-887-0013",
            "fax_number": "859-406-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILOR MADE COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "859-887-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KY",
            "license": "P07728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kathryn Sutherland, MS EDS
• Abigail Marie Swan, LPN
• P Lynn Swisher
• Chelsey Layne Switzer
• T Monroe Laboratory Solutions
• Carmen Bailey Tallent
• Samantha Johanne Tatum, OT
• Donald Taylor, PT
• Lindsey Nicole Taylor, PHARMD
• Sharon Yvonne Taylor, LDO

• Compounding Pharmacy in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Compounding Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.