Active NPI
Elite Sterile Pharmacy, LLC
- Compounding Pharmacy
- Columbia, TN
National Provider Identifier
1780514778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.