Active NPI
Compounding Solutions of Savannah, LLC
- Compounding Pharmacy
- Savannah, GA
National Provider Identifier
1578714515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- PHRE08809
- Legal business name
- COMPOUNDING SOLUTIONS OF SAVANNAH, LLC
- Practice address
- 603 E 69TH St
Savannah, GA 31405 - Phone
- (912) 629-0444
- NPI assigned
- Oct 8, 2008
- 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
- Dr. David Taylor, PHARM.D.
- Title
- Pharmacist
- Phone
- (912) 629-0444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | PHRE08809 | GA | Primary |
Addresses
Primary practice location
603 E 69TH St
Savannah, GA 31405
Mailing address
603 E 69TH St
Savannah, GA 31405-4713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1153028 | Other | GA | NCPDP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210108001952 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2769895820 | Practice locations: Savannah, GA |
National Provider Directory
National Provider DirectoryLocations
603 E 69th St
Savannah, GA 31405
Phone (912) 629-0444
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Savannah, GA
- NPI 1164019220
-
- Pharmacist
- Savannah, GA
- NPI 1558959452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533600000000",
"number": "1578714515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 E 69TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 E 69TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-629-0444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPOUNDING SOLUTIONS OF SAVANNAH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2018-08-07",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "912-629-0444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "GA",
"license": "PHRE08809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1153028",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.