TRI-STATE COMPOUNDING PHARMACY LLC (NPI# 1275646499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275646499 |
| Entity Type | Organization |
| Organization Name | TRI-STATE COMPOUNDING PHARMACY LLC |
| Other Organization Name | TRI-STATE COMPOUNDING PHARMACY |
| Practice Address |
7715 Beechmont Ave Cincinnati OH 45255-4203 |
| Mailing Address |
7715 Beechmont Ave Cincinnati OH 45255 |
| Practice Telephone | 5136247333 |
| Practice Fax Number | 5136247555 |
| Mailing Telephone | 5136247333 |
| Mailing Fax Number | 5136247555 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | CHAD THOMPSON (OWNER,PIC,AO) |
| Authorized Official Telephone | 5136247333 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
021356250-03 | OH | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
OH1934 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2078954 | 01 |
| Other Name | Type Code |
|---|---|
| TRI-STATE COMPOUNDING PHARMACY | Doing Business As Name - Organization |
| Street Address |
7715 BEECHMONT AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45255-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710408323 | Teresa Anne Hollenkamp | Speech-Language Pathologist | 8595 Beechmont Ave Ste 204, Cincinnati, OH 45255 | 2017-07-05 |
| 1780130997 | Amanda Friedman | Counselor | 4030 Mt. Carmel Tobasco Road, Suite #209, Cincinnati, OH 45255 | 2016-08-28 |
| 1255789228 | Daniel Nisi | Internal Medicine | 2139 Auburn Ave., Cincinnati, OH 45255 | 2016-05-31 |
| 1942655378 | Courtney Head | Hearing Instrument Specialist | 7689 Beechmont Ave, Cincinnati, OH 45255 | 2016-05-04 |
| 1164846366 | Joan Rivard | Speech-Language Pathologist | 7550 Forest Ave, Cincinnati, OH 45255 | 2014-02-07 |
| 1720401243 | Nathan Dumford | Psychologist | 7550 Forest Avenue, Cincinnati, OH 45255 | 2014-02-04 |
| 1548690431 | Melissa Donohoo | Registered Nurse | 7578 State Road, Cincinnati, OH 45255 | 2013-11-14 |
| 1376979542 | Forestville Dental, Michael D. Farmer, D.m.d., Inc. | Dentist | 7535 State Road, Unite M, Cincinnati, OH 45255 | 2013-09-19 |
| 1659665099 | Maggy's Home Health Care | Home Health | 4030 Mt. Carmal Tobasco Rd Ste307b, Cincinnati, OH 45255 | 2011-06-02 |
| 1306095716 | Jeremy Michael Ernstes | Optometrist | 7426 Beechmont Avenue Suite 209, Dr. David S. Tabeling & Associates, Cincinnati, OH 45255 | 2008-09-10 |
| Find all providers in zip 45255 | ||||
| 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 |
|---|---|---|---|---|
| 1386192482 | Mth Enterprises LLC | Pharmacy | 3495 Burnet Ave, Cincinnati, OH 45229-2876 | 2016-09-17 |
| 1013072388 | Packs Pharmacy Inc | Pharmacy | 2114 Madison Rd, Cincinnati, OH 45208-3221 | 2006-12-26 |
| 1437615440 | Cincinnati Pharmacy LLC | Pharmacy | 3495 Burnet Ave, Cincinnati, OH 45229-2876 | 2019-02-14 |
| 1588036669 | Hemeesh Rx LLC | Pharmacy | 1019 Linn St, Cincinnati, OH 45203-1314 | 2015-10-28 |
| 1184874232 | Shari's Pharmacy, LLC | Pharmacy | 6096 Montgomery Rd, Cincinnati, OH 45213-1618 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874316 | Harvest Grove Ltc, LLC | Pharmacy | 1113 Medina Rd Ste 700, Medina, OH 44256-9335 | 2020-08-31 |
| 1437705068 | Goodmed Pharmacy, LLC | Pharmacy | 3433 Agler Rd Ste 1400, Columbus, OH 43219-3388 | 2019-08-09 |
| 1295286680 | Ksar LLC | Pharmacy | 2245 W Dublin Granville Rd, Suite 103, Worthington, OH 43085-3350 | 2016-10-20 |
| 1679026157 | Lifecare Pharmacy Corp | Pharmacy | 4730 N Summit St, Toledo, OH 43611-2856 | 2016-08-01 |
| 1700251964 | Hux Enterprises | Pharmacy | 641 Hill Rd N Ste B, Pickerington, OH 43147-9346 | 2015-12-14 |
| 1366811630 | Kmg Pharmacy LLC | Pharmacy | 846 E Main St, Trotwood, OH 45426-2911 | 2015-09-17 |
| 1003299918 | Maumee Discount Pharmacy | Pharmacy | 1398 Conant St Ste C, Maumee, OH 43537-1669 | 2015-07-09 |
| 1639560139 | Infinity Pharmacy, LLC | Pharmacy | 2773 Cleveland Ave, Columbus, OH 43224-4408 | 2015-02-05 |
| 1033532437 | Md Compounding Pharmacy | Pharmacy | 721 Boardman Canfield Rd, Boardman, OH 44512-4386 | 2014-01-22 |
| 1497195895 | Relevant Compounding LLC | Pharmacy | 9329 State Route 220, Waverly, OH 45690-9012 | 2013-06-28 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45255 |
Please comment or provide details below to improve the information on TRI-STATE COMPOUNDING PHARMACY LLC.
| 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.