Active NPI
Express RX Compounding Center
- Compounding Pharmacy
- Chattanooga, TN
National Provider Identifier
1306986302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 3963
- Legal business name
- EXPRESS RX COMPOUNDING CENTER
- Practice address
- 7032 E Brainerd Rd
Chattanooga, TN 37421-3881 - Phone
- (423) 899-3278
- NPI assigned
- Feb 7, 2007
- 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
- Mr. James M Reed
- Title
- Owner
- Phone
- (423) 899-3278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | 3963 | TN | Primary |
Addresses
Primary practice location
7032 E Brainerd Rd
Chattanooga, TN 37421-3881
Mailing address
7032 E Brainerd Rd
Chattanooga, TN 37421-3881
Phone (423) 899-3278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4437073 | Medicaid | TN |
National Provider Directory
National Provider Directory- Tax ID family
- Express RX Compounding Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1134100472
-
- Community/Retail Pharmacy
- Chattanooga, TN
- NPI 1780724765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306986302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7032 E BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213881",
"telephone_number": "423-899-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7032 E BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213881",
"telephone_number": "423-899-3278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS RX COMPOUNDING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-899-3278",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "TN",
"license": "3963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4437073",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.