Anderson Compounding Pharmacy Inc
NPI 1225227424ActiveOrganization· Pharmacy, Compounding Pharmacy· Bristol, TN
Pharmacy, Compounding Pharmacy in Bristol, Tennessee, registered in NPPES in October 2007. The authorized official on file is Roy Cleve Anderson, RPH, President. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1225227424 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2007 |
| Last updated in NPPES | Oct 24, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | 2113 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (TN) |
|---|