Lewisburg Compounding Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LEWISBURG COMPOUNDING CENTER

Doing business as

Medicine Shoppe

Practice address

733 W Commerce St
Lewisburg, TN 37091-3231

Phone

(931) 359-1383

Fax

(931) 359-1386

NPI assigned

Feb 2, 2007

Last updated

Mar 7, 2023By 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

Dena Ferman

Title

Third Party Plan Coordinator

Phone

(314) 993-6000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508904590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 W COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913231",
            "telephone_number": "931-359-1383",
            "fax_number": "931-359-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 W COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913231",
            "telephone_number": "931-359-1383",
            "fax_number": "931-359-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG COMPOUNDING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "1752",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4423098",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455014",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura J Langdon, PA
• Kelly Larose
• Baylee Hunter Latta, COTA
• Jennifer C Laws, FNP-BC
• Faith Oliver Legrone, FNP
• Lewisburg Medical Clinic
• Lewisburg Recovery Center, LLC
• Lewisburg Smile Studio
• Martha S Lockridge, REGISTERED NURSE
• Brandon Lowe

• Community/Retail Pharmacy in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.