MOORESVILLE COMPOUNDING SPECIALTIES
NPI 1043345135
Pharmacist in Mooresville, NC

Active since February 22, 2007CLIA 34D0983972 · Waiver
439 E STATESVILLE AVE, SUITE A, MOORESVILLE, NC 28115(877) 454-0448 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mooresville Compounding Specialties NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOORESVILLE COMPOUNDING SPECIALTIES (NPI 1043345135) is a healthcare organization registered as a pharmacist in Mooresville, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Gavin M Houchins, Owner, as its authorized official.

NPPES Registry Identity

NPI1043345135
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameMOORESVILLE PHARMACY EAST LLC
Location Address439 E STATESVILLE AVE, SUITE AMooresville, NC 28115-2533
Mailing Address439 E Statesville Ave, Suite AMooresville, NC 28115-2533 · (877) 454-0448
Organization SubpartNo
Authorized OfficialGavin M HouchinsOwner · (704) 799-6870
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1043345135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NC · 08134
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

439 E STATESVILLE AVE, Mooresville, NC 28115

Other Names 1

Doing Business AsMooresville Compounding Specialties

Other Identifiers 1

Other3440093NC · Nabp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0983972

Mooresville Pharmacy East, LLC Dba Healthsmart Pharmacy · Mooresville, NC
Active · expires Mar 11, 2027
CLIA Number34D0983972
Laboratory TypePharmacy
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorGavin M. Houchins
Laboratory Phone(704) 799-6870
Laboratory LocationMooresville Pharmacy East, LLC Dba Healthsmart Pharmacy594 N Main Street, Mooresville, NC 28115
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Specialty Pharmacy)
439 E STATESVILLE AVE
MOORESVILLE, NC 28115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043345135, enumerated as an "organization" on February 22, 2007.

The provider is located at 439 E STATESVILLE AVE SUITE A MOORESVILLE, NC 28115 and the phone number is (877) 454-0448.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.