Custom Compounding Pharmacy LLC
Custom Compounding Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Chattanooga, TN, holding Type 2 (organization) NPI 1417095407 since 2007. The authorized official on file is Joe Musick, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417095407 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Custom Compounding Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 3816 RINGGOLD RD, Chattanooga, TN, 37412 |
| Phone | 4236290353 |
| Fax | 4236299646 |
| Enumeration date | 2007-02-02 |
| Last updated in NPPES | 2007-07-20 |
Authorized official
| Name | Joe Musick |
|---|---|
| Title | Pharmacist |
| Phone | 4236290353 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 0000003295 | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4432061 | Other | — | OTHER ID NUMBER |
| 4432061 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Custom Compounding Pharmacy LLC NPI: 1417095407 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3816 RINGGOLD RD, Chattanooga, TN, 37412
Verify this record
Cross-check NPI 1417095407 against the authoritative CMS record: view Custom Compounding Pharmacy LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Custom Compounding Pharmacy LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-20.