American Custom Compounding Pharmacy
NPI 1114266889ActiveOrganization· Pharmacy, Compounding Pharmacy· Dallas, TX
Pharmacy, Compounding Pharmacy in Dallas, Texas, registered in NPPES in January 2013. The authorized official on file is Matt Gundelfinger, Owner.
Overview
| NPI | 1114266889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2013 |
| Last updated in NPPES | Jan 31, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | 27976 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy, Compounding Pharmacy providers in Dallas
- 1093897589
- 1053220426
- 1346727609
- 1053271866
- 1497031447
- 1104944289
- 1124430202
- 1679847636
- 1295097335
- 1366843948
- 1346653367
- 1831735992