CENTRAL COMPOUNDING CENTER SOUTH (NPI# 1528388212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528388212 |
| Entity Type | Organization |
| Organization Name | CENTRAL COMPOUNDING CENTER SOUTH |
| Practice Address |
6224 Fayetteville Rd Durham NC 27713-6288 |
| Practice Telephone | 9194847600 |
| Mailing Telephone | 9194847600 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |
| Authorized Official Name | JENNIFER BURCH (OWNER/PHARMACIST) |
| Authorized Official Telephone | 9194847600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
09277 | NC | Suppliers |
| Street Address |
6224 FAYETTEVILLE RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518041094 | Jonathan Pritchett | Pharmacist | 6224 Fayetteville Rd, Suite 104, Durham, NC 27713-6288 | 2006-10-24 |
| 1164801155 | Back To Health Southpoint | Chiropractor | 6224 Fayetteville Rd, 106b, Durham, NC 27713-6288 | 2015-05-22 |
| 1598070559 | Christopher Thomas Finn | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2010-08-16 |
| 1114230778 | Meagan H Hasty | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2010-07-23 |
| 1629258413 | Virginia Blair Watson | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2007-11-08 |
| 1548474851 | Athletic Advantage, Inc. | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2007-05-09 |
| 1811011786 | Jason James Gauvin | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2007-03-18 |
| 1083752331 | Nathan David Kauk | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2007-02-01 |
| 1770659195 | Kenneth Leonuse Brown | Chiropractor | 6224 Fayetteville Rd, Suite 106b, Durham, NC 27713-6288 | 2006-11-28 |
| 1508932948 | Back To Health Cmc Inc | Chiropractor | 6224 Fayetteville Rd, Suite 106b, Durham, NC 27713-6288 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| 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 |
|---|---|---|---|---|
| 1629395553 | Whb Enterprises Ltd | Pharmacy | 1921 N Pointe Dr, Suite 120e, Durham, NC 27705-2672 | 2010-05-03 |
| 1265950588 | Aspirar Pharmacy of Durham LLC | Pharmacy | 4411 Ben Franklin Blvd, Durham, NC 27704-2147 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205470648 | Bee Well Pharmacy LLC | Pharmacy | 2430 Sw Cary Pkwy # 2430, Cary, NC 27513-5318 | 2019-10-29 |
| 1063970275 | Pharm-save, Inc. | Pharmacy | 509 S Lexington Ave, Burlington, NC 27215-5826 | 2019-03-06 |
| 1003289034 | Burlington 8142 LLC | Pharmacy | 378 Harden St, Burlington, NC 27215-7516 | 2015-11-13 |
| 1881038230 | Smart Pharmacy LLC | Pharmacy | 10 W Palmer St, Franklin, NC 28734-3046 | 2013-04-28 |
| 1588917553 | Lowry Drug Co | Pharmacy | 750 Hartness Rd Ste A, Statesville, NC 28677-3400 | 2012-10-16 |
| 1922364298 | Natural Sleep Store LLC | Pharmacy | 3750 Nw Cary Pkwy Ste 112, Cary, NC 27513-8432 | 2012-04-11 |
| 1821364506 | Johnsons Family Pharmacy and Compounding LLC | Pharmacy | 109 Professional Ct Ste 103, Garner, NC 27529-8348 | 2012-03-28 |
| 1801193503 | A2z Pharmacy LLC | Pharmacy | 1408 Archdale Dr, Charlotte, NC 28210-4421 | 2011-02-16 |
| 1356657043 | Chapman Pharmacy | Pharmacy | 563 Jackson Park Rd, Kannapolis, NC 28083-3657 | 2010-08-19 |
| 1770806549 | Pharmax, Inc. | Pharmacy | 120 N Patterson St, Maxton, NC 28364-1735 | 2010-03-09 |
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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.