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MOUNTAINSIDE COMPOUNDING LLC
NPI 1902526817
Pharmacy - Compounding Pharmacy in Tate, GA

Active since August 31, 2022
4875 HWY 53 E, SUITE B, TATE, GA 30177(678) 454-2323(678) 454-2325 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountainside Compounding Llc NPPES

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

MOUNTAINSIDE COMPOUNDING LLC (NPI 1902526817) is a healthcare organization registered as a compounding pharmacy in Tate, Georgia and active in the NPI registry since August 2022. The organization lists Dayna Maureen Timmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1902526817
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameMOUNTAINSIDE COMPOUNDING LLC
Location Address4875 HWY 53 E, SUITE BTate, GA 30177
Mailing AddressPo Box 254Tate, GA 30177-0254 · (678) 454-2323 · Fax (678) 454-2325
Phone(678) 454-2323
Fax(678) 454-2325
Organization SubpartNo
Authorized OfficialDayna Maureen TimmerOwner · (678) 454-2323
Enumeration DateAugust 31, 2022
NPPES CertifiedAugust 29, 2022
✔ NPI 1902526817 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.
4875 HWY 53 E, Tate, GA 30177
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Other Providers at the Same Location NPPES

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

DAYNA TIMMER PHARM.D.
Pharmacist
4875 HWY 53 E, SUITE B
TATE, GA 30177
Pickens County (678) 454-2323

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 Mountainside Compounding LLC's NPI number?

The NPI number for Mountainside Compounding LLC is 1902526817. It was assigned to this organization in the NPPES registry on August 31, 2022.

Where is Mountainside Compounding LLC located?

Mountainside Compounding LLC is located at 4875 Hwy 53 E Suite B, Tate, GA 30177. The listed phone number is (678) 454-2323.

What is Mountainside Compounding LLC'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 Mountainside Compounding LLC was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.