Compounding Shop Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29601 Issued in TX

Legal business name

COMPOUNDING SHOP PHARMACY, INC

Doing business as

Compounding Shop Pharmacy, Inc

Practice address

11851 Wilcrest Dr Ste a
Houston, TX 77031-1914

Phone

(281) 495-2230

Fax

(281) 495-2232

NPI assigned

May 16, 2007

Last updated

Jun 27, 2016By 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

John Yoo, PHARM.D.

Title

President

Phone

(281) 495-2230

Specialties & licenses 2

Addresses

Other names 1

• COMPOUNDING SHOP PHARMACY, INC Doing business as

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1598972101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 WILCREST DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311914",
            "telephone_number": "281-495-2230",
            "fax_number": "281-495-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 WILCREST DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311914",
            "telephone_number": "281-495-2230",
            "fax_number": "281-495-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDING SHOP PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-495-2230",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29601",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPOUNDING SHOP PHARMACY, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.