Active NPI
Home Town Compounding Specialists
- Health Service Clinic/Center
- Charlotte, NC
National Provider Identifier
1255704615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- HOME TOWN COMPOUNDING SPECIALISTS
- Practice address
- 6822 Charette CT
Charlotte, NC 28215-9424 - Phone
- (252) 493-6898
- Fax
- (888) 593-3836
- NPI assigned
- Nov 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Leland Herbert, PHARM.D.
- Title
- Pharmacist
- Phone
- (252) 493-6898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
6822 Charette CT
Charlotte, NC 28215-9424
Mailing address
6822 Charette CT
Charlotte, NC 28215-9424
Phone (252) 493-6898
Other names 1
- Herbert Clinical Pharmacy Specialists
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446854400000",
"number": "1255704615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6822 CHARETTE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282159424",
"telephone_number": "252-493-6898",
"fax_number": "888-593-3836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6822 CHARETTE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282159424",
"telephone_number": "252-493-6898",
"fax_number": "888-593-3836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME TOWN COMPOUNDING SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-07",
"last_updated": "2015-11-07",
"status": "A",
"authorized_official_last_name": "HERBERT",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "LELAND",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "252-493-6898",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Herbert Clinical Pharmacy Specialists",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.