Organization Active NPI

The Compounding Pharmacy of America

  • Compounding Pharmacy
  • Knoxville, TN
National Provider Identifier
1720337488
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
05046 Issued in TN
Legal business name
THE COMPOUNDING PHARMACY OF AMERICA
Practice address
6216 Highland Place Way
Suite 101a
Knoxville, TN 37919-4070
Phone
(888) 972-7239
Fax
(888) 689-9892
NPI assigned
Sep 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Vincent Matthew Poteet, PHARM.D.
Title
Chief Operational Officer
Phone
(404) 805-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 05046 TN Primary

Addresses

Primary practice location

6216 Highland Place Way
Suite 101a
Knoxville, TN 37919-4070

Mailing address

6216 Highland Place Way
Suite 101a
Knoxville, TN 37919-4070
Phone (888) 972-7239

National Provider Directory

National Provider Directory
Tax ID family
Compounding Pharmacy of America3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6216 Highland Place Way
Ste 101A
Knoxville, TN 37919
Phone (865) 243-2488

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1347148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1720337488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 HIGHLAND PLACE WAY",
            "address_2": "SUITE 101A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194070",
            "telephone_number": "888-972-7239",
            "fax_number": "888-689-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 HIGHLAND PLACE WAY",
            "address_2": "SUITE 101A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194070",
            "telephone_number": "888-972-7239",
            "fax_number": "888-689-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMPOUNDING PHARMACY OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-09",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "POTEET",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF OPERATIONAL OFFICER",
        "authorized_official_telephone_number": "404-805-3933",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "05046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.