Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Compounding Pharmacy LLC

Organization Pharmacy · NPI 1417095407

Custom Compounding Pharmacy LLC is a Pharmacy in Chattanooga, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3816 Ringgold Rd
Chattanooga, TN 37412-1640
Phone: (423) 629-0353
Fax: (423) 629-9646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 0000003295 (TN)
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1417095407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joe Musick — Pharmacist · (423) 629-0353
Other names Custom Compounding Phy Llc
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJuly 20, 2007
Mailing address3816 Ringgold Rd, Chattanooga, TN 37412-1640

Other providers in Chattanooga