Universal Compounding Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23727 Issued in FL

Legal business name

UNIVERSAL COMPOUNDING PHARMACY INC

Doing business as

Universal Compounding Pharmacy Inc

Practice address

2304 Aloma Ave
Winter Park, FL 32792-3330

Phone

(407) 673-2222

Fax

(407) 673-1234

NPI assigned

Dec 5, 2008

Last updated

Dec 5, 2008By 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

Naomi Stone

Title

Owner

Phone

(407) 673-2222

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Universal Compounding Pharmacy Inc Doing business as

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1932344918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923330",
            "telephone_number": "407-673-2222",
            "fax_number": "407-673-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-673-2222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23727",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1040384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Compounding Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• University Surgery Center LTD
• Jill Upchurch, MSW

• Community/Retail Pharmacy in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.