South River Compounding Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

SOUTH RIVER COMPOUNDING PHARMACY LLC

Practice address

11420 W Huguenot Rd
Midlothian, VA 23113-1119

Phone

(804) 897-6447

Fax

(804) 897-6449

NPI assigned

Jul 11, 2022

Last updated

Jul 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leighann Benton Stevenson, RPHNPI 1689278608

Title

Pharmacist in Charge

Phone

(804) 897-6447

Specialties & licenses 1

Addresses

Tax ID family

South River Compounding Pharmacy LLC2 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.

• South River Compounding Pharmacy LLC

  • Compounding Pharmacy
  • Henrico, VA
  • NPI 1942934633
  NPD tax ID

Locations

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.

• Leigh Ann Stevenson, RPH

  • Pharmacist
  • Midlothian, VA
  • NPI 1689278608
  NPD Authorized official

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1871227561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 W HUGUENOT RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131119",
            "telephone_number": "804-897-6447",
            "fax_number": "804-897-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 W HUGUENOT RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131119",
            "telephone_number": "804-897-6447",
            "fax_number": "804-897-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH RIVER COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "LEIGHANN",
        "authorized_official_middle_name": "BENTON",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "804-897-6447",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Solomon, O.D.
• Sommerville Chiropractic & Wellness Center, LLC (Victorian Square Chiropractic Center)
• Sommerville Family Practice, PC
• Robert A Sorenson, DDS
• Jasmine Marie Soucek, PA-C
• South River Compounding Pharmacy, Inc
• South River Dentistry
• Kristen Torrence Sowers, MSPT
• Sarah Nicole Sparks, D.D.S.
• Jamie Spear, RN

• Compounding Pharmacy in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Compounding Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.