P.E.B. Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

P.E.B. INC

Doing business as

The Compounding Shop

Practice address

1121 Ocean Springs Rd
Ocean Springs, MS 39564-3421

Phone

(228) 875-0158

Fax

(228) 875-4546

NPI assigned

May 25, 2007

Last updated

Jun 23, 2008By 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

Burt L. Patterson, RPH

Title

President / Pharmacist

Phone

(228) 875-0158

Specialties & licenses 1

Addresses

Other names 1

• The Compounding Shop Doing business as

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1275744567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-0158",
            "fax_number": "228-875-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-0158",
            "fax_number": "228-875-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.E.B. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BURT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT / PHARMACIST",
        "authorized_official_telephone_number": "228-875-0158",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Compounding Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Compounding Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.