Tiger Town Compounding Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHRE09389 Issued in GA

Legal business name

TIGER TOWN COMPOUNDING INC

Doing business as

Tiger Town Compounding

Practice address

2025 Homer Rd
Commerce, GA 30529-1255

Phone

(706) 335-0099

Fax

(706) 335-0078

NPI assigned

Nov 7, 2007

Last updated

Aug 2, 2013By 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

Kim Bost, PHRMD

Title

Owner

Phone

(706) 335-0099

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TIGER TOWN COMPOUNDING Doing business as

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1396925491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 HOMER RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291255",
            "telephone_number": "706-335-0099",
            "fax_number": "706-335-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HOMER RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291255",
            "telephone_number": "706-335-0099",
            "fax_number": "706-335-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGER TOWN COMPOUNDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "BOST",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-335-0099",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "GA",
            "license": "PHRE09389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2016757",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIGER TOWN COMPOUNDING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Commerce, GA
• Providers in Commerce, GA by specialty
• Compounding Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.