Stans Compounding Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000000556 Issued in TN

Legal business name

STANS COMPOUNDING PHARMACY

Practice address

7787 Rhea County Hwy
Dayton, TN 37321-5982

Phone

(423) 775-3030

Fax

(423) 775-6147

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Jeff Wolfenden

Title

Owner

Phone

(423) 775-3030

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Stan's Compounding Pharmacy, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Bruce Colburn, PHARM.D.

  • Pharmacist
  • Dayton, TN
  • NPI 1891891487
  NPD (past)

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1831482306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373210309",
            "telephone_number": "423-775-3030",
            "fax_number": "423-775-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7787 RHEA COUNTY HWY",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215982",
            "telephone_number": "423-775-3030",
            "fax_number": "423-775-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANS COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "WOLFENDEN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-775-3030"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000000556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stan's Compounding Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeastern Dental Associates, PC
• Southeastern Surgical Specialists
• Cara Sparks, PHARM.D.
• Specialty Medical Services, Inc
• Sport & Spine
• Stans Pharmacy Inc
• Steppingstone Retreat for Enhanced Living LLC
• Ricki Alexis Stewart
• Jill R Sullivan, DPH
• Torben Svendsen, D.O.

• Community/Retail Pharmacy in Dayton, TN
• Providers in Dayton, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.