Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Medford Compounding & Specialty Pharmacy LLC

Compounding Pharmacy in Medford, NY · enumerated 2012 · authorized official Crystal Koller, Vpf.

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

National Provider Identifier

1669721239

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Medford Compounding & Specialty Pharmacy LLC

Other name <Unavail>

Practice address 2612 Route 112, Medford, NY, 11763

Phone (631) 693-1403

Fax (631) 654-1508

Enumeration date Aug 29, 2012

Last updated in NPPES Apr 4, 2017

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0004X Compounding Pharmacy Suppliers · License 031387 (NY) Primary

Authorized official

Name Crystal Koller

Title Vpf

Phone (631) 475-4141

Other identifiers

Identifier	Type	State	Issuer
2136843	Other	-	PK

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 2017-04-04. Verify at npiregistry.cms.hhs.gov.

Where is Medford Compounding & Specialty Pharmacy LLC located?

The practice location on file with NPPES is in Medford, NY.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-04.