Healthcare Provider Details

I. General information

NPI: 1891690111
Provider Name (Legal Business Name): REGENERA COMPOUNDING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 RADAM LN BLDG E
AUSTIN TX
78745-1121
US

IV. Provider business mailing address

407 RADAM LN BLDG E
AUSTIN TX
78745-1121
US

V. Phone/Fax

Practice location:
  • Phone: 512-330-3999
  • Fax: 512-330-3998
Mailing address:
  • Phone: 512-330-3999
  • Fax: 512-330-3998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CATHERINE C SIMS
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMD.
Phone: 512-330-3999