Ivy Specialty Compounding, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

IVY SPECIALTY COMPOUNDING, LLC

Practice address

2222 Indiana Ave
Lubbock, TX 79410-2100

Phone

(806) 209-5140

NPI assigned

Dec 27, 2022

Organization subpart

No

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

Authorized official

Name

Brooke Hobgood, MDNPI 1659544641

Title

Manager

Phone

(806) 438-3544

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Leanne Hobgood, M.D.

  • Anesthesiology Physician
  • Lubbock, TX
  • NPI 1659544641
  NPD Authorized official

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1710690474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102100",
            "telephone_number": "806-209-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102100",
            "telephone_number": "806-209-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY SPECIALTY COMPOUNDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "HOBGOOD",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-438-3544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Itani, MD
• Jared Andrew Ivan, DO
• David C. Ivey, PH.D.
• Mia Ivos, MD
• Ivy Infusion Services, LLC
• Brendalyn Iweh, MD
• Kenneth Iwuji, M.D.
• Mary Iyer, L.M.T. M.M.P.
• Shankar Iyer
• J F Heritage LLC

• Compounding Pharmacy in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.