OrganizationActive
Medequip Health Corp
NPI 1063669315 · Compounding Pharmacy · Evans, GA
Medequip Health Corp is a Compounding Pharmacy organization in Evans, GA (NPI 1063669315).
Provider details
- NPI number
- 1063669315
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kyle Pulliam, Pharmacist(706) 855-5502
- License
- PHRE009484 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
465 N Belair Rd
1a2
Evans, GA 30809-3188
Phone: (706) 855-5502
Fax: (706) 854-2425
Street-level locationGet directions
Mailing address
465 N Belair Rd
Evans, GA 30809-3188
Other names (DBA / former)
- Doing business as
- Medical Center West Compding Lab
Registry dates
- Enumerated
- 2008-08-19
- Last updated
- 2008-08-19
Frequently asked questions
- What is Medequip Health Corp's NPI number?
- Medequip Health Corp's National Provider Identifier (NPI) is 1063669315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medequip Health Corp?
- Medequip Health Corp is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Medequip Health Corp located?
- Medequip Health Corp's practice location on file with NPPES is 465 N Belair Rd, Evans, GA 30809-3188.
- What is Medequip Health Corp's phone number?
- The practice phone number listed in the NPPES registry for Medequip Health Corp is (706) 855-5502.
- Who is the authorized official for Medequip Health Corp?
- The authorized official listed on Medequip Health Corp's NPPES record is Kyle Pulliam, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medequip Health Corp's NPI active?
- Yes — Medequip Health Corp's NPI (1063669315) is active in the NPPES registry as of the last update on 2008-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.