INFINITY COMPOUNDING SOLUTIONS LLC NPI 1144588278

NPI Information

  • NPI: 1144588278
  • Provider Name: INFINITY COMPOUNDING SOLUTIONS LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • :
  • Address: 1204 SE 28TH ST STE 2
    BENTONVILLE, AR
    ZIP 72712
  • Phone: (479) 250-1443

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NPI Details

INFINITY COMPOUNDING SOLUTIONS LLC is a pharmacy in Bentonville, AR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. INFINITY COMPOUNDING SOLUTIONS LLC NPI is 1144588278. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1204 SE 28TH ST STE 2
BENTONVILLE, AR
ZIP 72712-887
Phone: (479) 250-1443
Fax: (479) 268-3478

The provider's authorized official is Talmage Jeremy Whitehead .
The authorized official title is Cfo and has the following contact phone number (870) 347-2534.

The enumeration date for this NPI number is 4/26/2012 and was last updated on 2/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyYes
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1158837861MEDICAIDIOWA
21144588278MEDICAIDWYOMING
31144588278MEDICAIDNEVADA
41144588278MEDICAIDSOUTH DAKOTA
52136279OTHERPK
661049MEDICAIDMINNESOTA
77100416640MEDICAIDKENTUCKY
810026562900MEDICAIDNEBRASKA
91144588278MEDICAIDMICHIGAN
101144588278MEDICAIDWEST VIRGINIA
111144588278MEDICAIDIDAHO
121144588278MEDICAIDMISSOURI
13196379407MEDICAIDARKANSAS
142071647MEDICAIDWASHINGTON
1526120054MEDICAIDCOLORADO
167580070 00MEDICAIDMARYLAND
171144588278MEDICAIDMAINE
181144588278MEDICAIDOREGON
19568848MEDICAIDNEW JERSEY
201144588278MEDICAIDVIRGINIA
211031051MEDICAIDVERMONT
22103209818MEDICAIDPENNSYLVANIA
23177094MEDICAIDOHIO
24200675590AMEDICAIDOKLAHOMA
257A0677MEDICAIDSOUTH CAROLINA
261144588278MEDICAIDMONTANA
27201129980AMEDICAIDKANSAS
2806506381MEDICAIDNEW MEXICO
29201332360AMEDICAIDINDIANA
303104939MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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