Eastside Pharmacy and Custom Compounding, Inc.
NPI 1881884161 · Community/Retail Pharmacy · Athens, AL
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastside Pharmacy and Custom Compounding, Inc. is a Community/Retail Pharmacy organization in Athens, AL (NPI 1881884161).
Provider details
- NPI number
- 1881884161
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Monique Cannon, President(256) 233-7070
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
31 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 31 | $29 |
Typical Medicare-allowed amounts for these services range $29–$29 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-01
- Last updated
- 2021-03-23
- Certified
- 2021-03-02
Frequently asked questions
- What is Eastside Pharmacy and Custom Compounding, Inc.'s NPI number?
- Eastside Pharmacy and Custom Compounding, Inc.'s National Provider Identifier (NPI) is 1881884161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Pharmacy and Custom Compounding, Inc.?
- Eastside Pharmacy and Custom Compounding, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Eastside Pharmacy and Custom Compounding, Inc. located?
- Eastside Pharmacy and Custom Compounding, Inc.'s practice location on file with NPPES is 1406 Lindsay Lane South, Athens, AL 35613.
- What is Eastside Pharmacy and Custom Compounding, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Eastside Pharmacy and Custom Compounding, Inc. is (256) 233-7070.
- Does Eastside Pharmacy and Custom Compounding, Inc. accept Medicare?
- Eastside Pharmacy and Custom Compounding, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastside Pharmacy and Custom Compounding, Inc.?
- The authorized official listed on Eastside Pharmacy and Custom Compounding, Inc.'s NPPES record is Monique Cannon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Pharmacy and Custom Compounding, Inc.'s NPI active?
- Yes — Eastside Pharmacy and Custom Compounding, Inc.'s NPI (1881884161) is active in the NPPES registry as of the last update on 2021-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.