1. Home
  2. Directory
  3. Iowa
  4. Waterloo
  5. Pharmacy
  6. NPI Profile

GREENWOOD COMPOUNDING PHARMACY
NPI 1114002284
Pharmacy - Compounding Pharmacy in Waterloo, IA

Active since October 26, 2006
2104 KIMBALL AVE., SUITE A, WATERLOO, IA 50702(319) 433-0393(319) 234-5627 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greenwood Compounding Pharmacy NPPES

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

GREENWOOD COMPOUNDING PHARMACY (NPI 1114002284) is a healthcare organization registered as a compounding pharmacy in Waterloo, Iowa and active in the NPI registry since October 2006. The organization lists Jennifer Leigh Hughes, Pharmacist-in-charge/manager, as its authorized official.

NPPES Registry Identity

NPI1114002284
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NamePROFESSIONAL COMPOUNDING CENTER OF IOWA, INC.
Location Address2104 KIMBALL AVE., SUITE AWaterloo, IA 50702-5037
Mailing Address2104 Kimball Ave., Suite A.Waterloo, IA 50702-5037 · (319) 433-0393 · Fax (319) 234-5627
Phone(319) 433-0393
Fax(319) 234-5627
Organization SubpartNo
Authorized OfficialJennifer Leigh HughesPharmacist-in-charge/manager · (319) 433-0393
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 14, 2018
✔ NPI 1114002284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
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.
2104 KIMBALL AVE., Waterloo, IA 50702
Open in Google Maps ↗

Other Names 1

Doing Business AsGreenwood Compounding Pharmacy

Other Identifiers 1

Medicaid0489625IA

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 Professional Compounding Center Of Iowa, Inc.'s NPI number?

The NPI number for Professional Compounding Center Of Iowa, Inc. is 1114002284. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Greenwood Compounding Pharmacy.

Where is Professional Compounding Center Of Iowa, Inc. located?

Professional Compounding Center Of Iowa, Inc. is located at 2104 Kimball Ave. Suite A, Waterloo, IA 50702. The listed phone number is (319) 433-0393.

What is Professional Compounding Center Of Iowa, Inc.'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 Professional Compounding Center Of Iowa, Inc. was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.