P Praxis·MD
● Active Type 2 · Organization

Mountainside Compounding Llc

Pharmacy·Tate, GA· NPI 1902526817 · Enumerated 2022 · 3 years on NPI
Mountainside Compounding Llc is 1 of 28 pharmacy organizations in Georgia.
NPI age
3 years
Enumerated 2022-08-31
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Timmer
Owner
Last NPPES update
2022-08-31
Source: monthly bulk 2026-05

How this organization compares

Across 28 active pharmacy providers in Georgia.

NPI age
3 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-08Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
4875 Hwy 53 E, Suite B
Tate, GA 30177
📞 6784542323fax 6784542325
Mailing address
Po Box 254
Tate, GA 301770254
📞 6784542323fax 6784542325

Authorized official

Dayna Maureen Timmer, PHARMD
Owner
📞 6784542323

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
    taxonomy 3336C0004X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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