Precision Compounding Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009546 Issued in GA

Legal business name

PRECISION COMPOUNDING PHARMACY LLC

Doing business as

Precision Compounding Pharmacy

Practice address

1805 Hembree Rd
Ste C
Alpharetta, GA 30009-2075

Phone

(770) 772-0604

Fax

(770) 772-0605

NPI assigned

Apr 3, 2009

Last updated

Jun 10, 2009By 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

Vern Ohaya

Title

Pharmacist

Phone

(770) 772-0604

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Precision Compounding Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1356583470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 HEMBREE RD",
            "address_2": "STE C",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 HEMBREE RD",
            "address_2": "STE C",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092075",
            "telephone_number": "770-772-0604",
            "fax_number": "770-772-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "OHAYA",
        "authorized_official_first_name": "VERN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "770-772-0604"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1158624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.