Active NPI
Premium Compounding
- Compounding Pharmacy
- Decatur, AL
National Provider Identifier
1972434819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- Legal business name
- PREMIUM COMPOUNDING
- Practice address
- 3220 Highway 31 S Ste A2
Decatur, AL 35603-1731 - Phone
- (865) 789-0089
- NPI assigned
- May 28, 2026
- 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
- Mr. Samuel Borghese
- Title
- Ceo
- Phone
- (256) 309-7451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | Primary |
Addresses
Primary practice location
3220 Highway 31 S Ste A2
Decatur, AL 35603-1731
Mailing address
3220 Highway 31 S Ste A2
Decatur, AL 35603-1731
Phone (865) 789-0089
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Smyrna, GA
- NPI 1093449738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1972434819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 HIGHWAY 31 S STE A2",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031731",
"telephone_number": "865-789-0089",
"fax_number": "256-685-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 HIGHWAY 31 S STE A2",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031731",
"telephone_number": "865-789-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM COMPOUNDING",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-28",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "BORGHESE",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "256-309-7451",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.