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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INNOVATION COMPOUNDING PHARMACY, LLC
NPI 1710157342
Pharmacy in Kennesaw, GA

Active since March 11, 2008
3330 CHASTAIN MEADOWS PKWY NW, SUITE 100, KENNESAW, GA 30144(800) 547-1399(866) 635-2329 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Jan 13, 2022 (2 updates tracked since 2022).

About Innovation Compounding Pharmacy, Llc NPPES

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

INNOVATION COMPOUNDING PHARMACY, LLC (NPI 1710157342), doing business as Innovation Compounding, is a healthcare organization registered as a pharmacy in Kennesaw, Georgia and active in the NPI registry since March 2008. The organization lists Bart Zachary Anderson, General Manager/pharmacist-in-charg, as its authorized official.

NPPES Registry Identity

NPI1710157342
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameINNOVATION COMPOUNDING PHARMACY, LLC
Location Address3330 CHASTAIN MEADOWS PKWY NW, SUITE 100Kennesaw, GA 30144
Mailing Address3330 Chastain Meadows Pkwy Nw, Suite 100Kennesaw, GA 30144 · (800) 547-1399 · Fax (866) 635-2329
Phone(800) 547-1399
Fax(866) 635-2329
Organization SubpartNo
Authorized OfficialBart Zachary AndersonGeneral Manager/pharmacist-in-charg · (800) 547-1399
Enumeration DateMarch 11, 2008
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1710157342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X · License PHRE009149 (GA)
3330 CHASTAIN MEADOWS PKWY NW, Kennesaw, GA 30144
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Other Names 1

Doing Business AsInnovation Compounding

Other Providers at the Same Location NPPES 11

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

SANDRA LINETTE MARRERO
Behavior Technician
3330 CHASTAIN MEADOWS PKWY NW
KENNESAW, GA 30144
Cobb County (678) 648-7644
JASMINE SIMMONS
Behavior Technician
3330 CHASTAIN MEADOWS PKWY NW
KENNESAW, GA 30144
Cobb County (678) 648-7644
JESSICA BROOKE ALLEN
Behavior Technician
3330 CHASTAIN MEADOWS PKWY NW
KENNESAW, GA 30144
Cobb County (678) 648-7644
TANIAH DOOMES RBT
Behavior Technician
3330 CHASTAIN MEADOWS PKWY NW
KENNESAW, GA 30144
Cobb County (678) 648-7644
ARIANNA NEWKIRK
Behavior Technician
3330 CHASTAIN MEADOWS PKWY NW
KENNESAW, GA 30144
Cobb County (678) 648-7644
JADA SADLER
Behavior Technician
3330 CHASTAIN MEADOWS PKWY NW
KENNESAW, GA 30144
Cobb County (678) 648-7644
TYRONE PORTIS
Behavior Technician
3330 CHASTAIN MEADOWS PKWY NW
KENNESAW, GA 30144
Cobb County (678) 648-7644
ANDREA CACACE
Behavior Technician
3330 CHASTAIN MEADOWS PKWY NW
KENNESAW, GA 30144
Cobb County (678) 888-2932

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 Innovation Compounding Pharmacy, LLC's NPI number?

The NPI number for Innovation Compounding Pharmacy, LLC is 1710157342. It was assigned to this organization in the NPPES registry on March 11, 2008. The provider is doing business as Innovation Compounding.

Where is Innovation Compounding Pharmacy, LLC located?

Innovation Compounding Pharmacy, LLC is located at 3330 Chastain Meadows Pkwy NW Suite 100, Kennesaw, GA 30144. The listed phone number is (800) 547-1399.

What is Innovation Compounding Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Innovation Compounding Pharmacy, LLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.