Compounding Pharmacy LLC
Compounding Pharmacy LLC is a healthcare organization registered as Pharmacy in Bristol, TN, holding Type 2 (organization) NPI 1659058733 since 2023. The authorized official on file is Wesley Waters, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659058733 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Compounding Pharmacy LLC |
| Practice address | 310 BLUFF CITY HWY, Bristol, TN, 37620 |
| Phone | 4237644136 |
| Fax | 4237645167 |
| Enumeration date | 2023-06-30 |
| Last updated in NPPES | 2023-06-30 |
Authorized official
| Name | Wesley Waters |
|---|---|
| Title | Owner |
| Phone | 4065315888 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Compounding Pharmacy LLC NPI: 1659058733 Taxonomy: 333600000X (Pharmacy) Address: 310 BLUFF CITY HWY, Bristol, TN, 37620
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1760437347 | Compounding Pharmacy LLC | Organization | Community/Retail Pharmacy | Bristol, TN |
| 1225227424 | Anderson Compounding Pharmacy Inc | Organization | Compounding Pharmacy | Bristol, TN |
| 1518391101 | Hollie Gagne | Individual | Pharmacist | Bristol, TN |
Verify this record
Cross-check NPI 1659058733 against the authoritative CMS record: view 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
What type of organization is Compounding Pharmacy LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-06-30.