OrganizationActive
Premium Compounding Inc
NPI 1013408772 · Compounding Pharmacy · Decatur, AL
Provider details
- NPI number
- 1013408772
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Samuel Costello, President(256) 566-8011
- License
- 114813 (AL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3220 Highway 31 S Ste A2
Decatur, AL 35603-1731
Phone: (256) 566-8011
Street-level locationGet directions
Mailing address
3220 Highway 31 S Ste A2
Decatur, AL 35603-1731
Registry dates
- Enumerated
- 2018-05-29
- Last updated
- 2018-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.