Carolina Compound, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

CAROLINA COMPOUND, LLC

Practice address

7825 Ballantyne Commons Pkwy Ste 230
Charlotte, NC 28277-3175

Phone

(704) 540-4330

Fax

(704) 540-4660

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Jayant Jobanputra

Title

Owner

Phone

(704) 540-4330

Specialties & licenses 1

Addresses

Other names 1

• Carolina Compound & Nutritional Pharmacy Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1457029613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 BALLANTYNE COMMONS PKWY STE 230",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773175",
            "telephone_number": "704-540-4330",
            "fax_number": "704-540-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 BALLANTYNE COMMONS PKWY STE 230",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773175",
            "telephone_number": "704-540-4330",
            "fax_number": "704-540-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMPOUND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "JOBANPUTRA",
        "authorized_official_first_name": "JAYANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-540-4330"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.CCNPRX.COM",
            "affiliation": "N",
            "address_1": "7825 Ballantyne Commons Pkwy Ste 230",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282773175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carolina Compound & Nutritional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Community Group
• Carolina Community Group
• Carolina Community Group Triad
• Carolina Community Intervention Services, LLC
• Carolina Complete Psychiatry, PLLC
• Carolina Concierge Therapeutics, PLLC
• Carolina Counseling Co PLLC
• Carolina Counseling Group, LLC
• Carolina Cross Connection, Inc
• Carolina Dermatology, LLC

• All providers in Charlotte, NC
• Compounding Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.