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CUSTOM COMPOUNDING PHY LLC
NPI 1417095407
Pharmacy - Community/Retail Pharmacy in Chattanooga, TN

Active since February 02, 2007
3816 RINGGOLD RD, CHATTANOOGA, TN 37412(423) 629-0353(423) 629-9646 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Custom Compounding Phy Llc NPPES

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

CUSTOM COMPOUNDING PHY LLC (NPI 1417095407) is a healthcare organization registered as a community/retail pharmacy in Chattanooga, Tennessee and active in the NPI registry since February 2007. The organization lists Joe Musick, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1417095407
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCUSTOM COMPOUNDING PHARMACY LLC
Location Address3816 RINGGOLD RDChattanooga, TN 37412-1640
Mailing Address3816 Ringgold RdChattanooga, TN 37412-1640
Phone(423) 629-0353
Fax(423) 629-9646
Organization SubpartNo
Authorized OfficialJoe MusickPharmacist · (423) 629-0353
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 20, 2007
✔ NPI 1417095407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 0000003295
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
3816 RINGGOLD RD, Chattanooga, TN 37412
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Other Names 1

Doing Business AsCustom Compounding Phy Llc

Other Identifiers 2

Other4432061Other Id Number-commercial Number
Other4432061Other Id Number

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 Custom Compounding Pharmacy LLC's NPI number?

The NPI number for Custom Compounding Pharmacy LLC is 1417095407. It was assigned to this organization in the NPPES registry on February 2, 2007. The provider is doing business as Custom Compounding Phy LLC.

Where is Custom Compounding Pharmacy LLC located?

Custom Compounding Pharmacy LLC is located at 3816 Ringgold Rd, Chattanooga, TN 37412. The listed phone number is (423) 629-0353.

What is Custom Compounding Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Custom Compounding Pharmacy LLC was last updated on July 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.