CARTERS COMPOUNDING PHARMACY (NPI# 1033289111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033289111 |
Entity Type | Organization |
Organization Name | CARTERS COMPOUNDING PHARMACY |
Other Organization Name | CARTERS COMPOUNDING PHARMACY |
Practice Address |
106 Elk Ave S Ste B Fayetteville TN 37334-3050 |
Practice Telephone | 9314331511 |
Practice Fax Number | 9314336854 |
Mailing Telephone | 9314331511 |
Mailing Fax Number | 9314336854 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2010-09-27 |
Authorized Official Name | JIMMY DAMRON (OWNER AND PHARM) |
Authorized Official Telephone | 9314331511 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
0000003710 | TN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 4435853 | 01 |
Other Name | Type Code |
---|---|
CARTERS COMPOUNDING PHARMACY | Doing Business As Name - Organization |
Street Address |
106 ELK AVE S STE B |
City | FAYETTEVILLE |
State | TN |
Zip Code | 37334-3050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043583925 | Robert Lewis Clark | Pharmacist | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2012-02-22 |
1558634592 | John Cordell Smith | Pharmacist | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2012-02-22 |
1205960457 | Rebecca D Gleghorn | Pharmacist | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2007-03-16 |
1811021074 | Jimmy David Damron | Pharmacist | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2007-03-16 |
1831223007 | Amy A Hall | Pharmacist | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2007-03-16 |
1881728111 | Charles Wayne Damron | Pharmacist | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2007-03-16 |
1669506903 | Amanda A Franks | Pharmacist | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2007-03-16 |
1770616393 | Amanda Louise Brown | Pharmacist | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2007-03-13 |
1639237761 | Carters Inc | Pharmacy | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
Find all providers in zip 37334 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
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. |
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598765596 | Collier Drug Stores Inc | Pharmacy | 3380 N Futrall Dr Ste 2, Ste 2, Fayetteville, AR 72703-4815 | 2005-08-01 |
1124658141 | Tripharma Inc | Pharmacy | 767 W North St, Fayetteville, AR 72701-1865 | 2020-01-17 |
1750665584 | Southern Pain Institute P C | Pharmacy | 1975 Highway 54 W Ste 100, Fayetteville, GA 30214-4794 | 2011-09-28 |
1639237761 | Carters Inc | Pharmacy | 106 Elk Ave S, Fayetteville, TN 37334-3050 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467091488 | Phipps Pharmacy Inc | Pharmacy | 20190 Main St E, Huntingdon, TN 38344-4119 | 2019-12-23 |
1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
1700444163 | Parish Pharmacy Enterprise LLC | Pharmacy | 1162 W Poplar Ave, Collierville, TN 38017-3196 | 2019-05-31 |
1538726211 | Airville Pharmacy, LLC | Pharmacy | 1785 Airport Rd Ste A, Gallatin, TN 37066-3740 | 2019-05-29 |
1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
1922575315 | The Compounding Lab | Pharmacy | 714 W Market St Ste 101, Johnson City, TN 37604-5483 | 2018-10-24 |
1013495472 | Sarjo Pharmacy, Inc. | Pharmacy | 3385 Airways Blvd Ste 217, Memphis, TN 38116-3808 | 2018-07-29 |
1518443241 | Jj Beans At Lenox LLC | Pharmacy | 6900 Lenox Village Dr Ste 14, Nashville, TN 37211-7366 | 2018-07-16 |
1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
1144747411 | River City Pharmacy Inc | Pharmacy | 5564 Little Debbie Pkwy, Suite 102, Ooltewah, TN 37363-4356 | 2017-08-27 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 37334 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.