Compounding Specialists LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

COMPOUNDING SPECIALISTS LLC

Practice address

1540 Centennial CT Unit 100
Casper, WY 82609-7308

Phone

(307) 333-2120

Fax

(307) 333-2912

NPI assigned

Dec 13, 2019

Last updated

Dec 13, 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

Richard L Johnson, RPH

Title

Pharmacist/Owner

Phone

(307) 333-2120

Specialties & licenses 2

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1306484092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 CENTENNIAL CT UNIT 100",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826097308",
            "telephone_number": "307-333-2120",
            "fax_number": "307-333-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 CENTENNIAL CT UNIT 100",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826097308",
            "telephone_number": "307-333-2120",
            "fax_number": "307-333-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDING SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "307-333-2120",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "richardj@wyocompounding.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1540 Centennial Ct Unit 100",
            "city": "Casper",
            "state": "WY",
            "country_code": "US",
            "postal_code": "826097308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richardj@wyocompounding.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1540 Centennial Ct Unit 100",
            "city": "Casper",
            "state": "WY",
            "country_code": "US",
            "postal_code": "826097308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Compounding Pharmacy in Casper, WY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.