Classic Compounding Pharmacy, LLC
NPI 1942830922ActiveOrganization· Pharmacy, Compounding Pharmacy· York, ME
Pharmacy, Compounding Pharmacy in York, Maine, registered in NPPES in January 2020. The authorized official on file is Cynthia Marie Theriault, RPH, Member/Pharmacist In Charge.
Overview
| NPI | 1942830922 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2020 |
| Last updated in NPPES | Jan 18, 2020 |
| Certified by provider | Jan 18, 2020 |
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 |
|---|