Custom Compounding Pharmacy LLC
NPI 1417095407 · Community/Retail Pharmacy · Chattanooga, TN
Custom Compounding Pharmacy LLC is a Community/Retail Pharmacy organization in Chattanooga, TN (NPI 1417095407).
Provider details
- NPI number
- 1417095407
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Joe Musick, Pharmacist(423) 629-0353
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Custom Compounding Phy LLC
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2007-07-20
Frequently asked questions
- What is Custom Compounding Pharmacy LLC's NPI number?
- Custom Compounding Pharmacy LLC's National Provider Identifier (NPI) is 1417095407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Compounding Pharmacy LLC?
- Custom Compounding Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Custom Compounding Pharmacy LLC located?
- Custom Compounding Pharmacy LLC's practice location on file with NPPES is 3816 Ringgold Rd, Chattanooga, TN 37412-1640.
- What is Custom Compounding Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Compounding Pharmacy LLC is (423) 629-0353.
- Who is the authorized official for Custom Compounding Pharmacy LLC?
- The authorized official listed on Custom Compounding Pharmacy LLC's NPPES record is Joe Musick, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Compounding Pharmacy LLC's NPI active?
- Yes — Custom Compounding Pharmacy LLC's NPI (1417095407) is active in the NPPES registry as of the last update on 2007-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.