OrganizationActive
Mountainside Compounding LLC
NPI 1902526817 · Compounding Pharmacy · Tate, GA
Mountainside Compounding LLC is a Compounding Pharmacy organization in Tate, GA (NPI 1902526817).
Provider details
- NPI number
- 1902526817
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dayna Timmer, Owner(678) 454-2323
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 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
4875 Hwy 53 E
Suite B
Tate, GA 30177
Phone: (678) 454-2323
Fax: (678) 454-2325
Street-level locationGet directions
Mailing address
Po Box 254
Tate, GA 30177-0254
Registry dates
- Enumerated
- 2022-08-31
- Last updated
- 2022-08-31
- Certified
- 2022-08-29
Frequently asked questions
- What is Mountainside Compounding LLC's NPI number?
- Mountainside Compounding LLC's National Provider Identifier (NPI) is 1902526817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountainside Compounding LLC?
- Mountainside Compounding LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Mountainside Compounding LLC located?
- Mountainside Compounding LLC's practice location on file with NPPES is 4875 Hwy 53 E, Tate, GA 30177.
- What is Mountainside Compounding LLC's phone number?
- The practice phone number listed in the NPPES registry for Mountainside Compounding LLC is (678) 454-2323.
- Who is the authorized official for Mountainside Compounding LLC?
- The authorized official listed on Mountainside Compounding LLC's NPPES record is Dayna Timmer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountainside Compounding LLC's NPI active?
- Yes — Mountainside Compounding LLC's NPI (1902526817) is active in the NPPES registry as of the last update on 2022-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.