Biocompound LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

3336C0004X Issued in WA

Legal business name

BIOCOMPOUND LLC

Practice address

6515 W Clearwater Ave
#302
Kennewick, WA 99336-1790

Phone

(509) 736-9988

Fax

(509) 736-9922

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mike Kissire

Title

Owner

Phone

(509) 528-4118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1770822934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 W CLEARWATER AVE",
            "address_2": "#302",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361790",
            "telephone_number": "509-736-9988",
            "fax_number": "509-736-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 W CLEARWATER AVE",
            "address_2": "#302",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361790",
            "telephone_number": "509-736-9988",
            "fax_number": "509-736-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOCOMPOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "KISSIRE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-528-4118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "3336C0004X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea L Bickford, L.M.P.
• Lela Ann Bickford, RN, CCM, RIS
• Amanda Bieker-Harris
• Melissa Ann Bien, BSW
• Justin William Bingman, DPT
• Tosca Trieste Birch, MSW
• Robert Bishop
• Andreas Joseph Bitterlich, PA-C
• Blake Bitton, PA-C, PHD, RDH
• Erica Bjella

• Compounding Pharmacy in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Compounding Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.