Healthcare Provider Details

I. General information

NPI: 1760284707
Provider Name (Legal Business Name): NEXT GENERATION COMPOUNDING PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 03/27/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5448 HWY 11E
PINEY FLATS TN
37686
US

IV. Provider business mailing address

5448 HWY 11E
PINEY FLATS TN
37686
US

V. Phone/Fax

Practice location:
  • Phone: 276-279-2208
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JENNIFER REED
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 276-279-2208