OrganizationActive
Mack Bayou Pharmacy LLC
NPI 1508112889 · Compounding Pharmacy · Santa Rosa Beach, FL
Mack Bayou Pharmacy LLC is a Compounding Pharmacy organization in Santa Rosa Beach, FL (NPI 1508112889).
Provider details
- NPI number
- 1508112889
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amy Frazier, Owner(850) 622-0730
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
82 Mack Bayou Loop Ste B
Santa Rosa Beach, FL 32459-2607
Phone: (850) 622-0730
Fax: (850) 622-0755
Street-level locationGet directions
Mailing address
82 Mack Bayou Loop Ste B
Santa Rosa Beach, FL 32459-2607
Other names (DBA / former)
- Doing business as
- Mack Bayou Pharmacy LLC
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2017-03-01
Frequently asked questions
- What is Mack Bayou Pharmacy LLC's NPI number?
- Mack Bayou Pharmacy LLC's National Provider Identifier (NPI) is 1508112889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mack Bayou Pharmacy LLC?
- Mack Bayou Pharmacy LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Mack Bayou Pharmacy LLC located?
- Mack Bayou Pharmacy LLC's practice location on file with NPPES is 82 Mack Bayou Loop Ste B, Santa Rosa Beach, FL 32459-2607.
- What is Mack Bayou Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Mack Bayou Pharmacy LLC is (850) 622-0730.
- Who is the authorized official for Mack Bayou Pharmacy LLC?
- The authorized official listed on Mack Bayou Pharmacy LLC's NPPES record is Amy Frazier, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mack Bayou Pharmacy LLC's NPI active?
- Yes — Mack Bayou Pharmacy LLC's NPI (1508112889) is active in the NPPES registry as of the last update on 2017-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.