PHARMACY SPECIALTY SERVICES
NPI 1104001809
Pharmacy - Compounding Pharmacy in Johnson City, TN

Active since January 02, 2008
1301 N ROAN ST, JOHNSON CITY, TN 37601(423) 928-3130(423) 928-2249 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pharmacy Specialty Services NPPES

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

PHARMACY SPECIALTY SERVICES (NPI 1104001809) is a healthcare organization registered as a compounding pharmacy in Johnson City, Tennessee and active in the NPI registry since January 2008. The organization lists Brian Bevins, Owner, as its authorized official.

NPPES Registry Identity

NPI1104001809
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NamePHARMACY SPECIALTY SERVICES
Location Address1301 N ROAN STJohnson City, TN 37601-3941
Mailing Address1301 N Roan StJohnson City, TN 37601-3941
Fax(423) 928-2249
Organization SubpartNo
Authorized OfficialBrian BevinsOwner · (423) 928-3130
Enumeration DateJanuary 2, 2008
Last NPPES UpdateJune 5, 2008
NPI 1104001809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License Licensed in TN · 0000003619
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
1301 N ROAN ST, Johnson City, TN 37601

Other Identifiers 1

Other4440878Other Id Number

Other Providers at the Same Location NPPES 5

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

Pharmacy (Community/Retail Pharmacy)
1301 N ROAN ST
JOHNSON CITY, TN 37601
Pharmacy (Community/Retail Pharmacy)
1301 N ROAN ST
JOHNSON CITY, TN 37601
Pharmacist
1301 N ROAN ST
JOHNSON CITY, TN 37601
Pharmacy (Long Term Care Pharmacy)
1301 N ROAN ST
JOHNSON CITY, TN 37601
Pharmacist
1301 N ROAN ST
JOHNSON CITY, TN 37601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pharmacy Specialty Services's NPI number?

The NPI number for Pharmacy Specialty Services is 1104001809. It was assigned to this organization in the NPPES registry on January 2, 2008.

Where is Pharmacy Specialty Services located?

Pharmacy Specialty Services is located at 1301 N Roan St, Johnson City, TN 37601. The listed phone number is (423) 928-3130.

What is Pharmacy Specialty Services's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Pharmacy Specialty Services was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.