Active NPI
Adelia Compounding LLC
- Home Infusion Therapy Pharmacy
- Farmers Branch, TX
National Provider Identifier
1902646102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- 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, 2025
- 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
- Mrs. Marilynn Recine
- Title
- Director, RCM
- Phone
- (888) 822-7428
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250506001522 | TX | DME Supplier - Pharmacy | 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Wayne, NJ
- NPI 1013784305
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.