Ivy Specialty Compounding, LLC
NPI 1710690474ActiveOrganization· Pharmacy, Compounding Pharmacy· Lubbock, TX
Pharmacy, Compounding Pharmacy in Lubbock, Texas, registered in NPPES in December 2022. The authorized official on file is Brooke Hobgood, MD, Manager.
Overview
| NPI | 1710690474 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2022 |
| Last updated in NPPES | Dec 27, 2022 |
| Certified by provider | Dec 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
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 |
|---|
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