Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Eastside Pharmacy and Custom Compounding, Inc.

Community/Retail Pharmacy in Athens, AL · enumerated 2007 · authorized official Monique Cannon, President.

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

National Provider Identifier

1881884161

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Registry record

Entity type Organization (Type 2)

Legal business name Eastside Pharmacy and Custom Compounding, Inc.

Practice address 1406 Lindsay Lane South, Suite A, Athens, AL, 35613

Phone (256) 233-7070

Fax (256) 233-8891

Enumeration date Aug 1, 2007

Last updated in NPPES Mar 23, 2021

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 112977 (AL) Primary

Authorized official

Name Monique Cannon

Title President

Phone (256) 233-7070

Other identifiers

Identifier	Type	State	Issuer
100039186	Medicaid	AL	-

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-03-23. Verify at npiregistry.cms.hhs.gov.

Where is Eastside Pharmacy and Custom Compounding, Inc. located?

The practice location on file with NPPES is in Athens, AL.

Providers at this address

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Monique Cannon Pharmacist · Athens, AL NPI 1659441541

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-23.