NPIMap

Organization Active NPI

Compounding Corner Pharmacy, Inc.

Doing business as Compounding Corner Pharmacy

  • Compounding Pharmacy
  • Sugar Land, TX
National Provider Identifier
1891165866
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
23038 Issued in TX
Legal business name
COMPOUNDING CORNER PHARMACY, INC.
Doing business as
Compounding Corner Pharmacy
Practice address
1730 Williams Trace Blvd Ste K
Sugar Land, TX 77478-4055
Phone
(281) 494-7777
Fax
(281) 494-7770
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Shannon Maguadog
Title
Pic
Phone
(281) 494-7777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X 23038 TX Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1730 Williams Trace Blvd Ste K
Sugar Land, TX 77478-4055

Mailing address

1730 Williams Trace Blvd Ste K
Sugar Land, TX 77478-4055
Phone (281) 494-7777

Other identifiers 1

IdentifierTypeStateIssuer
2154374OtherPK

Other names 1

  • Compounding Corner Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1891165866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 WILLIAMS TRACE BLVD STE K",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784055",
            "telephone_number": "281-494-7777",
            "fax_number": "281-494-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WILLIAMS TRACE BLVD STE K",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784055",
            "telephone_number": "281-494-7777",
            "fax_number": "281-494-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDING CORNER PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "MAGUADOG",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "281-494-7777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "23038",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154374",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compounding Corner Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.