OrganizationActive
Impact Compounding LLC
NPI 1902509821 · Compounding Pharmacy · Tipp City, OH
Provider details
- NPI number
- 1902509821
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dawn Trame, Pharmacist(937) 761-2606
Specialties & taxonomies
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1920 Donn Davis Way
Tipp City, OH 45371
Phone: (937) 761-2606
Fax: (937) 761-2607
Street-level locationGet directions
Mailing address
1920 Donn Davis Way
Tipp City, OH 45371-7313
Registry dates
- Enumerated
- 2023-03-22
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.