OrganizationActive
Medford Compounding & Specialty Pharmacy LLC
NPI 1669721239 · Compounding Pharmacy · Medford, NY
Medford Compounding & Specialty Pharmacy LLC is a Compounding Pharmacy organization in Medford, NY (NPI 1669721239).
Provider details
- NPI number
- 1669721239
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Crystal Koller, Vpf(631) 475-4141
Specialties & taxonomies
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
13 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
2612 Route 112
Medford, NY 11763-2522
Phone: (631) 693-1403
Fax: (631) 654-1508
Street-level locationGet directions
Mailing address
2608 Route 112
Medford, NY 11763-2551
Other names (DBA / former)
- Doing business as
- Medford Compounding & Specialty Pharmacy LLC
Registry dates
- Enumerated
- 2012-08-29
- Last updated
- 2017-04-04
Frequently asked questions
- What is Medford Compounding & Specialty Pharmacy LLC's NPI number?
- Medford Compounding & Specialty Pharmacy LLC's National Provider Identifier (NPI) is 1669721239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medford Compounding & Specialty Pharmacy LLC?
- Medford Compounding & Specialty Pharmacy LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Medford Compounding & Specialty Pharmacy LLC located?
- Medford Compounding & Specialty Pharmacy LLC's practice location on file with NPPES is 2612 Route 112, Medford, NY 11763-2522.
- What is Medford Compounding & Specialty Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Medford Compounding & Specialty Pharmacy LLC is (631) 693-1403.
- Who is the authorized official for Medford Compounding & Specialty Pharmacy LLC?
- The authorized official listed on Medford Compounding & Specialty Pharmacy LLC's NPPES record is Crystal Koller, Vpf. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medford Compounding & Specialty Pharmacy LLC's NPI active?
- Yes — Medford Compounding & Specialty Pharmacy LLC's NPI (1669721239) is active in the NPPES registry as of the last update on 2017-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.