Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Custom Compounding Pharmacy LLC

Community/Retail Pharmacy in Chattanooga, TN · enumerated 2007 · authorized official Joe Musick, Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417095407

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Custom Compounding Pharmacy LLC

Other name <Unavail>

Practice address 3816 Ringgold Rd, Chattanooga, TN, 37412

Phone (423) 629-0353

Fax (423) 629-9646

Enumeration date Feb 2, 2007

Last updated in NPPES Jul 20, 2007

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 0000003295 (TN) Primary

3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Joe Musick

Title Pharmacist

Phone (423) 629-0353

Other identifiers

Identifier	Type	State	Issuer
4432061	Other	-	OTHER ID NUMBER
4432061	Other	-	OTHER ID NUMBER-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-07-20. Verify at npiregistry.cms.hhs.gov.

Where is Custom Compounding Pharmacy LLC located?

The practice location on file with NPPES is in Chattanooga, TN.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-20.