Organization Active NPI

Tri County Compounding Inc

  • Community/Retail Pharmacy
  • Dallas, NC
National Provider Identifier
1972012128
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13359 Issued in NC
Legal business name
TRI COUNTY COMPOUNDING INC
Practice address
111A N Hoffman St
Dallas, NC 28034-1597
Phone
(704) 922-3001
Fax
(704) 922-0060
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Josh Haney, PHARMD
Title
RX Manager
Phone
(704) 922-3001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 13359 NC Primary
Specialty Pharmacy 3336S0011X 13359 NC

Addresses

Primary practice location

111A N Hoffman St
Dallas, NC 28034-1597

Mailing address

111A N Hoffman St
Dallas, NC 28034-1597
Phone (704) 922-3001

Other identifiers 1

IdentifierTypeStateIssuer
13359OtherNCPHARMACY PERMIT

Other names 1

  • Tri-County Compounding Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972012128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111A N HOFFMAN ST",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280341597",
            "telephone_number": "704-922-3001",
            "fax_number": "704-922-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111A N HOFFMAN ST",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280341597",
            "telephone_number": "704-922-3001",
            "fax_number": "704-922-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY COMPOUNDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "RX MANAGER",
        "authorized_official_telephone_number": "704-922-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13359",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NC",
            "license": "13359",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "13359",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.