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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.

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

Active since August 24, 2018
117 FOUNTAINS BLVD STE 2, MADISON, MS 39110(601) 707-7545 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 23, 2026, Mar 7, 2023, Aug 24, 2018 (3 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, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1912488198
Entity TypeOrganization
Primary Taxonomy1835P0018X
Legal Business NameMADISON MEDICAL COMPOUNDING PHARMACY
Location Address117 FOUNTAINS BLVD STE 2Madison, MS 39110-6317
Mailing Address117 Fountains Blvd Ste 2Madison, MS 39110-6317 · (601) 707-7545
Phone(601) 707-7545
Organization SubpartNo
Authorized OfficialKristen Leann ChambersOperations Manager · (662) 820-4305
Enumeration DateAugust 24, 2018
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ 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)
117 FOUNTAINS BLVD STE 2, Madison, MS 39110
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 117 Fountains Blvd Ste 2, 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 September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.