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Prescription Compounding Shoppe

NPI 1679733034ActiveOrganization· Pharmacy, Compounding Pharmacy· Campbellsville, KY

Pharmacy, Compounding Pharmacy in Campbellsville, Kentucky, registered in NPPES in June 2008. The authorized official on file is Edward Baise, Pharmacist.

Overview

NPI1679733034
StatusActive
Entity typeOrganization
NPI issuedJun 10, 2008
Last updated in NPPESJun 10, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Compounding Pharmacy Primary3336C0004XPO6571KY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years