Creative Compounds LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

21330 Issued in TX

Legal business name

CREATIVE COMPOUNDS LLC

Practice address

101 S Coit Rd
Ste 363
Richardson, TX 75080-5743

Phone

(972) 385-8006

Fax

(972) 385-8009

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Sara Le Blane Hover, RPH

Title

Owner

Phone

(972) 385-8006

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1730368762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S COIT RD",
            "address_2": "STE 363",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S COIT RD",
            "address_2": "STE 363",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805743",
            "telephone_number": "972-385-8006",
            "fax_number": "972-385-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COMPOUNDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "LE BLANE HOVER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-385-8006",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "21330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4521313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.