Chattanooga Compounding Pharmacy Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

CHATTANOOGA COMPOUNDING PHARMACY INC.

Practice address

7032 East Brainerd Rd
Suite a-B
Chattanooga, TN 37421

Phone

(423) 899-3278

Fax

(423) 648-0774

NPI assigned

Nov 15, 2019

Last updated

Dec 2, 2019By 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

Thomas Allen Raymer

Title

Pharmacist

Phone

(423) 899-3278

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1245875046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7032 EAST BRAINERD RD",
            "address_2": "SUITE A-B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-899-3278",
            "fax_number": "423-648-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7032 EAST BRAINERD RD",
            "address_2": "SUITE A-B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-899-3278",
            "fax_number": "423-648-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA COMPOUNDING PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "RAYMER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "423-899-3278"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Compounding Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.