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MADISON MEDICAL COMPOUNDING PHARMACY
NPI 1912488198
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Madison, MS

Active since August 24, 2018
111 FOUNTAINS BLVD. BUILDING B STE. A, MADISON, MS 39110(601) 707-7545 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Aug 24, 2018 (2 updates tracked since 2018).

About Madison Medical Compounding Pharmacy NPPES

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

MADISON MEDICAL COMPOUNDING PHARMACY (NPI 1912488198) is a healthcare organization registered as a pharmacist clinician (phc)/ clinical pharmacy specialist in Madison, Mississippi and active in the NPI registry since August 2018. The organization lists Kristen Leann Chambers, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1912488198
Entity TypeOrganization
Primary Taxonomy1835P0018X
Legal Business NameMADISON MEDICAL COMPOUNDING PHARMACY
Location Address111 FOUNTAINS BLVD. BUILDING B STE. AMadison, MS 39110
Mailing Address111 Fountains Blvd. Building B Ste. AMadison, MS 39110 · (601) 707-7545
Phone(601) 707-7545
Organization SubpartNo
Authorized OfficialKristen Leann ChambersPharmacist In Charge · (662) 820-4305
Enumeration DateAugust 24, 2018
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1912488198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MS · 17118
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 17118 (MS)
111 FOUNTAINS BLVD. BUILDING B STE. A, Madison, MS 39110
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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 Madison Medical Compounding Pharmacy's NPI number?

The NPI number for Madison Medical Compounding Pharmacy is 1912488198. It was assigned to this organization in the NPPES registry on August 24, 2018.

Where is Madison Medical Compounding Pharmacy located?

Madison Medical Compounding Pharmacy is located at 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110. The listed phone number is (601) 707-7545.

What is Madison Medical Compounding Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Madison Medical Compounding Pharmacy was last updated on March 7, 2023. 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.