Professional Compounding of Roswell Inc
NPI 1689714552ActiveOrganization· Pharmacy, Compounding Pharmacy· Roswell, NM
Pharmacy, Compounding Pharmacy in Roswell, New Mexico, registered in NPPES in February 2007. The authorized official on file is Charles Shannon, RPH, President.
Overview
| NPI | 1689714552 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2007 |
| Last updated in NPPES | Aug 31, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | PH00002305 | NM |
| Pharmacy | 333600000X | — | — |
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 |
|---|