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Professional Compounding of Roswell Inc

Compounding Pharmacy in Roswell, NM · enumerated 2007 · authorized official Charles Shannon, President.

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

National Provider Identifier

1689714552

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Compounding of Roswell Inc
Other name <Unavail>
Practice address 700 N Union Ave, Roswell, NM, 88201
Phone (575) 622-6578
Fax (575) 623-3801
Enumeration date Feb 8, 2007
Last updated in NPPES Aug 31, 2015

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0004X Compounding Pharmacy Suppliers · License PH00002305 (NM) Primary

Authorized official

Name Charles Shannon
Title President
Phone (575) 622-6578

Other identifiers

Identifier Type State Issuer
2058933 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.

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Frequently asked questions

What is the NPI number for Professional Compounding of Roswell Inc?
The NPI for Professional Compounding of Roswell Inc is 1689714552, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Professional Compounding of Roswell Inc?
NPPES lists Charles Shannon (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-31.