Organization Active NPI

US Compounding Factory LLC

  • Compounding Pharmacy
  • Hicksville, NY
National Provider Identifier
1720896483
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
US COMPOUNDING FACTORY LLC
Doing business as
US Compounding Factory
Practice address
108 New South Rd Ste B
Hicksville, NY 11801-5262
Phone
(646) 371-4498
NPI assigned
Dec 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Prof. Nauman Shahid
Title
Managing Director/Partner
Phone
(646) 371-4498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

108 New South Rd Ste B
Hicksville, NY 11801-5262

Mailing address

78 Carolyn Ave
Valley Stream, NY 11580-1103

Other names 1

  • US Compounding Factory Doing business as

National Provider Directory

National Provider Directory

Locations

108 New South Rd
Ste B
Hicksville, NY 11801
Phone (646) 371-4498

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1720896483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CAROLYN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NEW SOUTH RD STE B",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015262",
            "telephone_number": "646-371-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US COMPOUNDING FACTORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "NAUMAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR/PARTNER",
        "authorized_official_telephone_number": "646-371-4498",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Compounding Factory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.