Prather Enterprises Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

5301008860 Issued in MI

Legal business name

PRATHER ENTERPRISES INC

Doing business as

The Compound Shoppe

Practice address

49 S Monroe St
Ste 150
Monroe, MI 48161-2476

Phone

(734) 243-2478

Fax

(734) 243-2479

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By 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

Brian Prather, RPH

Title

President

Phone

(734) 243-2247

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE COMPOUND SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1588824940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 S MONROE ST",
            "address_2": "STE 150",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 S MONROE ST",
            "address_2": "STE 150",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612476",
            "telephone_number": "734-243-2478",
            "fax_number": "734-243-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATHER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-243-2247",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MI",
            "license": "5301008860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2371285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE COMPOUND SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lesly Pompy, MD
• Christopher Jacob Pope
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• Dennis Potter
• Mitchell J Poupard
• Courtney Pratt, FNP-C
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• Preferred Urgent Care LLC

• Compounding Pharmacy in Monroe, MI
• Providers in Monroe, MI by specialty
• Compounding Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.