Organization Active NPI

Elite Sterile Pharmacy, LLC

  • Compounding Pharmacy
  • Columbia, TN
National Provider Identifier
1780514778
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
ELITE STERILE PHARMACY, LLC
Practice address
104 Berrywood Dr
Columbia, TN 38401-6408
Phone
(931) 901-0021
Fax
(931) 901-0033
NPI assigned
May 21, 2026
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Mattison Burklow
Title
Ceo
Phone
(931) 626-7261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

104 Berrywood Dr
Columbia, TN 38401-6408

Mailing address

104 Berrywood Dr
Columbia, TN 38401-6408
Phone (931) 901-0021

National Provider Directory

National Provider Directory

Locations

104 Berrywood Dr
Columbia, TN 38401
Phone (866) 771-3535

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1780514778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016408",
            "telephone_number": "931-901-0021",
            "fax_number": "931-901-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016408",
            "telephone_number": "931-901-0021",
            "fax_number": "931-901-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE STERILE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "BURKLOW",
        "authorized_official_first_name": "MATTISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-626-7261"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.