Monroe Compounding Center

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

5301007299 Issued in MI

Legal business name

MONROE COMPOUNDING CENTER

Practice address

126 Cole Rd
Monroe, MI 48162-4104

Phone

(734) 240-0032

Fax

(734) 243-3964

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John W Bicking, RPH

Title

Ceo

Phone

(734) 243-5656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1295899078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624104",
            "telephone_number": "734-240-0032",
            "fax_number": "734-243-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624104",
            "telephone_number": "734-240-0032",
            "fax_number": "734-243-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COMPOUNDING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "BICKING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-243-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MI",
            "license": "5301007299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Community Ambulance
• Monroe Community Health Services
• Monroe Community Health Services
• Monroe Community Health Services
• Monroe Community Pharmacy LLC
• Monroe County Community Mental Health Authority
• Monroe County Community Mental Health Authority
• Monroe County Community Mental Health Authority
• Monroe County Intermediate School District
• Monroe County Opportunity Program

• All providers in Monroe, MI
• Compounding Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.