OrganizationActive
Prescription Compounding Shoppe
NPI 1679733034 · Compounding Pharmacy · Campbellsville, KY
Provider details
- NPI number
- 1679733034
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Edward Baise, Pharmacist(270) 789-2165
- License
- PO6571 (KY)
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
18 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
327 E Broadway St
Campbellsville, KY 42718-2003
Phone: (270) 465-3784
Fax: (270) 789-3784
Street-level locationGet directions
Mailing address
327 E Broadway St
Campbellsville, KY 42718-2003
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2008-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.