Organization Active NPI

RWRX Holdings, Inc

Doing business as Collierville Compounding Pharmacy

  • Compounding Pharmacy
  • Collierville, TN
National Provider Identifier
1700444163
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
RWRX HOLDINGS, INC
Doing business as
Collierville Compounding Pharmacy
Practice address
1162 West Poplar Ave
Collierville, TN 38017-3196
Phone
(901) 861-3000
NPI assigned
May 31, 2019
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Jeffery Ryan Wooden, PHARMD
Title
Managing Partner
Phone
(901) 371-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

1162 West Poplar Ave
Collierville, TN 38017-3196

Mailing address

984 Copper Leaf Cove
Collierville, TN 38017
Phone (901) 371-1075

Other names 1

  • Collierville Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1700444163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 COPPER LEAF COVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-371-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 WEST POPLAR AVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173196",
            "telephone_number": "901-861-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWRX HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "WOODEN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "901-371-1075",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collierville Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collierville Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.