Eastside Pharmacy And Custom Compounding, Inc.
Community/Retail Pharmacy
1406 Lindsay Lane South, Suite A, Athens
Alabama, 35613
256-233-7070 256-233-8891
Eastside Pharmacy And Custom Compounding, Inc. is a Community/Retail Pharmacy in Athens, Alabama. It is located at 1406 Lindsay Lane South, Suite A, Athens and it's customer support contact number is 256-233-7070. The authorized person of Eastside Pharmacy And Custom Compounding, Inc. is Monique D. Cannon, PHARMD who is President of the pharmacy and his contact number is 256-233-7070. Active license number of Eastside Pharmacy And Custom Compounding, Inc. is 112977 for Community/Retail Pharmacy in Alabama. Eastside Pharmacy And Custom Compounding, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Eastside Pharmacy And Custom Compounding, Inc. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Eastside Pharmacy And Custom Compounding, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Eastside Pharmacy And Custom Compounding, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 1406 Lindsay Lane South, Suite A, Athens,
Alabama, 35613 |
| Phone: | 256-233-7070 |
| Fax: | 256-233-8891 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Monique D. Cannon |
| Credentials: | PHARMD |
| Position: | President |
| Contact Number: | 256-233-7070 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1881884161 |
| NPI Enumeration Date: | 01 Aug, 2007 |
| NPI Last Update On: | 23 Mar, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eastside Pharmacy And Custom Compounding, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 112977 | Alabama | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100039186 | Medicaid | Alabama | |
Medicare Enrollment:
Eastside Pharmacy And Custom Compounding, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4789739418 | O20090902000287 | Eastside Pharmacy And Custom Compounding, Inc. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 4789739418 | O20100930072490 | Eastside Pharmacy And Custom Compounding, Inc. | DME SUPPLIER - PHARMACY |
Products Available:
Eastside Pharmacy And Custom Compounding, Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1406 Lindsay Lane South, Suite A
Athens, Alabama |
| Zip: | 35613 |
| Phone Number: | 256-233-7070 |
| Fax Number: | 256-233-8891 |
Patients can reach Eastside Pharmacy And Custom Compounding, Inc. at
1406 Lindsay Lane South, Suite A, Athens, Alabama or can
call on customer care at 256-233-7070.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.