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

Medford Compounding & Specialty Pharmacy LLC

Organization Pharmacy · NPI 1669721239

Medford Compounding & Specialty Pharmacy LLC is a Pharmacy in Medford, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
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

2612 Route 112
Medford, NY 11763-2522
Phone: (631) 693-1403
Fax: (631) 654-1508
Show map & directions

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

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence 031387 (NY)
Pharmacy Taxonomy 333600000X

Record details

NPI number1669721239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Koller — Vpf · (631) 475-4141
Other names Medford Compounding & Specialty Pharmacy Llc
NPI enumeratedAugust 29, 2012
Last updated in NPPESApril 4, 2017
Mailing address2608 Route 112, Medford, NY 11763-2551

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