Compounding Pharmacy LLC
Compounding Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Bristol, TN, holding Type 2 (organization) NPI 1760437347 since 2006. The authorized official on file is Wesley Waters, Owner/Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760437347 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Compounding Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 310 BLUFF CITY HWY, Bristol, TN, 37620 |
| Phone | 4237644136 |
| Fax | 4237645167 |
| Enumeration date | 2006-05-23 |
| Last updated in NPPES | 2026-01-20 |
Authorized official
| Name | Wesley Waters |
|---|---|
| Title | Owner/Pharmacist |
| Phone | 4065315888 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336M0002X | Mail Order Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2113 | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4425903 | Medicaid | TN | — |
| 8508895 | Medicaid | VA | — |
| 4425903 | Other | — | OTHER ID NUMBER |
Copy-ready billing details
Provider: Compounding Pharmacy LLC NPI: 1760437347 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 310 BLUFF CITY HWY, Bristol, TN, 37620
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225227424 | Anderson Compounding Pharmacy Inc | Organization | Compounding Pharmacy | Bristol, TN |
| 1518391101 | Hollie Gagne | Individual | Pharmacist | Bristol, TN |
| 1659058733 | Compounding Pharmacy LLC | Organization | Pharmacy | Bristol, TN |
Verify this record
Cross-check NPI 1760437347 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
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Where is Compounding Pharmacy LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-01-20.