CLASSIC COMPOUNDING PHARMACY, LLC


Address: 1171 Us Route 1, York, ME 03909-5837
Phone: 2073519010

CLASSIC COMPOUNDING PHARMACY, LLC (NPI# 1942830922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942830922
Entity Type Organization
Organization Name CLASSIC COMPOUNDING PHARMACY, LLC
Practice Address 1171 Us Route 1
York
ME 03909-5837
Practice Telephone 2073519010
Practice Fax Number 2073519011
Mailing Telephone 2073519010
Mailing Fax Number 2073519011
Enumeration Date 2020-01-18
Last Update Date 2020-01-18
Authorized Official Name CYNTHIA MARIE THERIAULT (MEMBER/PHARMACIST IN CHARGE)
Authorized Official Telephone 2073519010
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Classic Compounding Pharmacy Doing Business As Name - Organization

Office Location

Street Address 1171 US ROUTE 1
City YORK
State ME
Zip Code 03909-5837

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760012744 Cynthia Marie Theriault Pharmacist 1171 Us Route 1, York, ME 03909-5837 2020-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588206049 Kristina Nicole Scangas Physician Assistant 3 Loving Kindness Way, York, ME 03909 2019-10-16
1467923540 St. Georges Childcare Center Clinic/Center 407 York Street, York Harbor, ME 03909 2018-12-16
1518398023 Jm Dental PC Dentist 433 F Us Route 1, Suite 107, York, ME 03909 2013-12-09
1043554405 Jennifer Helen Gustafson Occupational Therapist 3 Whittier Way, York, ME 03909 2012-11-24
1720351240 Kimberly Trafton Acupuncturist 272 York Street, York, ME 03909 2012-02-14
1518237767 Jill Ann Colton-spina Registered Nurse 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 2012-01-05
1497980650 York Family Dental Dentist 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 2009-05-18
1356590947 Susan A. Emerson Occupational Therapist 41 Brixham Rd., York, ME 03909 2008-09-18
1316122252 John Wendelin Anderer Dentist 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 2008-01-09
1720296486 Town of York/york School Department Local Education Agency (LEA) 469 U.S. Route One, York, ME 03909 2007-05-18
Find all providers in zip 03909

Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275520686 Community Pharmacies LLC Pharmacy 244 Main St, Saco, ME 04072-1509 2005-09-30
1811255318 South Berwick Pharmacy Seacoast Compounding Inc. Pharmacy 289 Main St, South Berwick, ME 03908-1543 2012-05-03
1225328669 Moby Rx Pharmacy 225 Waterman Dr, South Portland, ME 04106-3634 2011-04-19
1144201377 West End Drug Company Pharmacy 105 Main St, Bar Harbor, ME 04609-1844 2005-11-05

Competitor

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City YORK
Zip Code 03909

Improve Information

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Dataset Information

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.

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