Procompounding

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PROCOMPOUNDING

Practice address

527 N State of Franklin Rd
Johnson City, TN 37604-8210

Phone

(423) 975-0597

Fax

(423) 975-6304

NPI assigned

Nov 5, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Patrone, PHARM.D.NPI 1356474605

Title

Pharmacist/Owner

Phone

(423) 975-0597

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Procompounding pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 7

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

• Jessica L Patrone, PHARM.D.

  • Pharmacist
  • Johnson City, TN
  • NPI 1356474605
  NPD Authorized official
• Sergio Gabriel Alonso

  • Pharmacist
  • Johnson City, TN
  • NPI 1821695156
  NPD
• Laura Beth Jenks, PHAR D

  • Pharmacist
  • Johnson City, TN
  • NPI 1881821833
  NPD
• Raymond Nash

  • Pharmacist
  • Johnson City, TN
  • NPI 1851908891
  NPD
• Tara Quillen, PHARMD

  • Pharmacist
  • Johnson City, TN
  • NPI 1437657137
  NPD
• Tandy Branham, PHARMD

  • Pharmacist
  • Johnson City, TN
  • NPI 1164903837
  NPD (past)
• Eric Schneider, PHARMD

  • Pharmacist
  • Johnson City, TN
  • NPI 1598239972
  NPD (past)

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1720743503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048210",
            "telephone_number": "423-975-0597",
            "fax_number": "423-975-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048210",
            "telephone_number": "423-975-0597",
            "fax_number": "423-975-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCOMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "PATRONE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "423-975-0597",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QO32940",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Procompounding pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Procompounding pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandford W Prince, DMD
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• Kerry Ellen Proctor-Williams, PH.D., CCC-SLP
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• Amy L Proffitt, MD
• Lenzie Faith Proffitt
• Meredith McCook Prosak, LCSW

• Pharmacy in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.