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Innovation Compounding Pharmacy, LLC

Pharmacy in Kennesaw, GA · enumerated 2008 · authorized official Bart Anderson, General Manager/Pharmacist-in-Charg.

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

National Provider Identifier

1710157342

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Registry record

Entity type Organization (Type 2)
Legal business name Innovation Compounding Pharmacy, LLC
Other name <Unavail>
Practice address 3330 Chastain Meadows Pkwy Nw, Suite 100, Kennesaw, GA, 30144
Phone (800) 547-1399
Fax (866) 635-2329
Enumeration date Mar 11, 2008
Last updated in NPPES Jul 30, 2026

Taxonomy & classification

333600000X Pharmacy Suppliers Primary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336C0004X Compounding Pharmacy Suppliers · License PHRE009149 (GA) Secondary

Authorized official

Name Bart Anderson
Title General Manager/Pharmacist-in-Charg
Phone (800) 547-1399

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 Innovation Compounding Pharmacy, LLC?
The NPI for Innovation Compounding Pharmacy, LLC is 1710157342, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Innovation Compounding Pharmacy, LLC?
NPPES lists Bart Anderson (General Manager/Pharmacist-in-Charg) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-30.