National Compounding Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26591 Issued in FL

Legal business name

NATIONAL COMPOUNDING COMPANY INC

Practice address

1824 59TH St W
Bradenton, FL 34209-4630

Phone

(941) 792-2688

Fax

(941) 254-4937

NPI assigned

Jan 2, 2013

Organization subpart

No

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

Authorized official

Name

Brad Long

Title

President

Phone

(941) 792-2688

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Soothe Compounding Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1649516113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-792-2688",
            "fax_number": "941-254-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-792-2688",
            "fax_number": "941-254-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL COMPOUNDING COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-792-2688"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26591",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5712965",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soothe Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.