OrganizationActive
Specialty Compounding Pharmacy LLC
NPI 1518409788 · Compounding Pharmacy · Wilsonville, OR
Provider details
- NPI number
- 1518409788
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard White, Owner(503) 582-1776
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
9150 Sw Pioneer Ct Ste F
Wilsonville, OR 97070-9623
Phone: (503) 582-1776
Fax: (503) 466-3098
Street-level locationGet directions
Mailing address
9150 Sw Pioneer Ct Ste F
Wilsonville, OR 97070-9623
Registry dates
- Enumerated
- 2016-11-04
- Last updated
- 2017-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.