Organization Active NPI

Premium Compounding

  • Compounding Pharmacy
  • Decatur, AL
National Provider Identifier
1972434819
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
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

Updated by the provider on Jun 3, 2026

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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.