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

Madison Medical Compounding Pharmacy

Organization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1912488198

Madison Medical Compounding Pharmacy is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Madison, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
Specialties on file
2

Practice location Address checks out

111 Fountains Blvd Bldg B Ste A
Madison, MS 39110
Phone: (601) 707-7545
Show map & directions

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

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 17118 (MS)
Specialty Pharmacy Taxonomy 3336S0011X · Licence 17118 (MS)

Record details

NPI number1912488198
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristen Chambers — Pharmacist In Charge · (662) 820-4305
NPI enumeratedAugust 24, 2018
Last updated in NPPESMarch 7, 2023
Mailing address111 Fountains Blvd. Building B Ste. A, Madison, MS 39110

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