Organization Active NPI

Access Compounding and Consulting Pharmacy

  • Compounding Pharmacy
  • Chattanooga, TN
National Provider Identifier
1750413407
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
3806 Issued in TN
Legal business name
ACCESS COMPOUNDING AND CONSULTING PHARMACY
Practice address
4062 Hixson Pike
Chattanooga, TN 37415-3110
Phone
(423) 877-3568
Fax
(423) 877-2111
NPI assigned
Mar 9, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mrs. Reta J. Standefer, RN
Title
Owner
Phone
(423) 877-3568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 3806 TN Primary

Addresses

Primary practice location

4062 Hixson Pike
Chattanooga, TN 37415-3110

Mailing address

4062 Hixson Pike
Chattanooga, TN 37415-3110
Phone (423) 877-3568

National Provider Directory

National Provider Directory
Tax ID family
Access Compounding and Consulting Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1750413407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153110",
            "telephone_number": "423-877-3568",
            "fax_number": "423-877-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153110",
            "telephone_number": "423-877-3568",
            "fax_number": "423-877-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS COMPOUNDING AND CONSULTING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "STANDEFER",
        "authorized_official_first_name": "RETA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-877-3568",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "3806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.