Organization Active NPI

Adelia Compounding LLC

  • Home Infusion Therapy Pharmacy
  • Farmers Branch, TX
National Provider Identifier
1902646102
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
ADELIA COMPOUNDING LLC
Practice address
1801 Royal LN Ste 500
Farmers Branch, TX 75229-7509
Phone
(888) 822-7428
Fax
(201) 475-9633
NPI assigned
May 28, 2024
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Mrs. Marilynn Recine
Title
Director, RCM
Phone
(888) 822-7428

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Home Infusion Therapy Pharmacy 3336H0001X NU Primary

Addresses

Primary practice location

1801 Royal LN Ste 500
Farmers Branch, TX 75229-7509

Mailing address

1401 Valley Road
4TH Floor
Wayne, NJ 07470
Phone (888) 822-7428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250506001522 TX DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Other 6507383346 Practice locations: Farmers Branch, TX
O20251013000455 TX Part B Supplier - Pharmacy 6507383346 Practice locations: Spring Branch, TX

National Provider Directory

National Provider Directory
Tax ID family
Adelia Compounding 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.

Locations

1401 Valley Rd
Fl 4
Wayne, NJ 07470
Phone (201) 475-0500

1801 Royal Ln
Ste 500
Farmers Branch, TX 75229
Phone (866) 596-9595

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1902646102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 VALLEY ROAD",
            "address_2": "4TH FLOOR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "888-822-7428",
            "fax_number": "201-475-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ROYAL LN STE 500",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752297509",
            "telephone_number": "888-822-7428",
            "fax_number": "201-475-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELIA COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "RECINE",
        "authorized_official_first_name": "MARILYNN",
        "authorized_official_title_or_position": "DIRECTOR, RCM",
        "authorized_official_telephone_number": "888-822-7428",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.